There's an element of parody to this jet-black comedy, but the film is so creepy that it gets under our skin. And even if it feels a bit ridiculous, the story challenges us with an exploration of bullying and social pressure that's deeply unsettling. All while writer-director Bates gleefully keeps us off-balance with a shifting mix of broad comedy and growing horror. It's also a deranged coming-of-age tale about Pauline McCord , a teen outcast who delusionally believes that she is destined to be a great surgeon. This is mainly because she wants to cure her sister Grace Winter of cystic fibrosis. So she teaches herself surgical skills by piercing her nose, among other things.
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