The Human Centipede (First Sequence) is a 2009 Dutch independent body horror film written, directed and co-produced by Tom Six. The film concerns a deranged German surgeon who kidnaps three tourists and conjoins them surgically, mouth to anus, forming the eponymous "human centipede". It stars Dieter Laser as Josef Heiter, the creator of the centipede; and Ashley C. Williams, Ashlynn Yennie, and Akihiro Kitamura as Heiter's victims.

According to Six, the concept arose from a joke he had made with friends about punishing a child molester by stitching his mouth to the anus of a "fat truck driver". Other sources of inspiration were Nazi medical experiments performed during World War II, such as those performed by Josef Mengele at the Auschwitz concentration camp. When approaching investors to fund the project, Six did not mention the premise of the film for fear of putting off potential backers; financiers did not discover the full nature of the film until completion.


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Lindsay and Jenny, tourists from New York visiting Germany, get a flat tire on their way to a night club and seek help at the house of misanthropic, psychopathic surgeon Dr. Josef Heiter. He drugs the women with water spiked with Rohypnol and kidnaps them to a makeshift medical ward.

Heiter kills a kidnapped truck driver after Heiter informs him he is "not a match". Heiter also abducts Japanese tourist Katsuro. Heiter is a retired world-renowned expert at separating Siamese twins, but dreams of making new creatures by sewing humans together. He says he will surgically connect his three victims mouth-to-anus, so that they share a single digestive system. His prior experiment, the 3Dog, conjoined three Rottweilers into a "Siamese triplet"; all three dogs died following the operation. Heiter has moved on to using human subjects.

After Lindsay tries to escape and fails, Heiter decides to make her the middle part of the centipede, the most painful position for the healing process, as punishment. Heiter performs the surgery, placing Katsuro at the lead, Lindsay at the middle and Jenny at the rear; he removes both the upper and lower front teeth and lips of Lindsay and Jenny, and mutilates the buttocks of Katsuro and Lindsay to provide access to the rectums. He severs the ligaments of his victims' knees to prevent leg extension, forcing his victims to crawl.

Once the operation is complete, Heiter takes the centipede to his living room, takes photos, and passes a mirror around for the segments of the centipede to view their new form. Heiter attempts to train his centipede as a pet by caging the centipede in a dog kennel, forcing Katsuro to eat dog food at dinner, and belittling Katsuro with racist insults and beating him with a crop when he becomes rebellious.

When Katsuro defecates after apologizing to the girls, Lindsay is forced to swallow his excrement. Heiter becomes irritated after being kept awake by the screaming of a caged Katsuro (who, as the front part of the centipede, has his mouth free and is still able to speak, but in Japanese) and by the constant moaning of the women, threatening to remove their vocal cords. When the centipede attempts to escape while Heiter is swimming, all three segments are beaten with the crop. Heiter is displeased with the realization that Lindsay is constipated. He proposes to use laxatives on Lindsay, which would force Jenny to feed off the feces of her best friend. Before he can do this, he discovers that Jenny is dying from sepsis (suggesting that Lindsay may have already defecated into her mouth off-camera, which led to infection).

Two detectives named Kranz and Voller visit the house to investigate the disappearance of the three tourists. Heiter comes up with an idea to add them as replacements for Jenny in a new creation: a four-segment centipede. He offers the detectives water spiked with Rohypnol. After being given the drugged water, the detectives become suspicious and obtain a search warrant for his home. When the detectives leave Heiter's home, the victims attempt to escape. Katsuro attacks Heiter. Their attempt to escape fails. Katsuro confesses to Heiter that he deserves this fate because he treated his family poorly, then takes his own life by slitting his throat with a glass shard, trapping the girls.

Upon returning to Heiter's home, the detectives conduct separate searches as Heiter, injured, hides near his swimming pool. Kranz finds the ward along with Heiter's victims. Voller begins to feel ill from the earlier drugging and Heiter stabs him with the scalpel pulled from his foot during Katsuro's attack. Upon finding Voller dead, Kranz is shot by Heiter with Voller's sidearm. Kranz responds by fatally shooting Heiter in the head before succumbing to his wounds.

The inspiration for the film's plot came from a joke that writer/director Tom Six once made to his friends about punishing a child molester they saw on TV by stitching his mouth to the anus of an overweight truck driver.[7] Six saw this as the concept for a great horror film, and he began to develop the idea.[17] He has said he was heavily influenced as a filmmaker by the early works of David Cronenberg and Japanese horror films.[18] Six has said he prefers horror films that are more realistic over "unbelievable"[11] monster films, and that he gets "a rash from too much political correctness."[19] A major influence for The Human Centipede was Pier Paolo Pasolini's controversial 1975 Italian drama film Sal, or the 120 Days of Sodom, which was notable for its scenes depicting intensely graphic violence, sadism, and sexual depravity, as was the work of Japanese director Takashi Miike.[20] Six has also expressed his love of the works of David Lynch.[21] Further inspiration came from Six's previous role as a director on the Dutch series of Big Brother, where he had been able to observe people who "did crazy things when they were alone and thought they were not (being) watched."[22]

Six has stated that The Human Centipede is, to an extent, a reflection on fascism. Dieter Laser, who played the antagonist Dr Heiter, said during the promotion of the film that he felt the guilt of Nazi actions during the war had haunted ordinary Germans for generations, and that as a German whose father participated in the war, he often felt "like a child whose father is in jail for murder."[23] The inclusion of a German villain came from this, with Six citing both the German invasion of the Netherlands during World War II and the Nazi medical experiments as inspiration.[24] Laser stated in an interview with Clark Collis for Entertainment Weekly that he considered the film a "grotesque [parody] about the Nazi psyche".[7] Heiter's name was an amalgamation of several Nazi war criminals, his surname (literally meaning "cheerful" in German) a combination of the names of Nazi doctors Fetter and Richter, and his first name coming from Josef Mengele, who carried out experiments on prisoners at the Auschwitz concentration camp.[25] World War II also played an influence on the nationality of the other main characters who were American and Japanese.[26] Six includes many horror film clichs in the first act, such as a broken-down car, lack of phone signal[27] and very nave victims.[11] Six did this in an attempt to lull audiences into thinking they are watching a conventional horror film, therefore making Dr Heiter's treatment of his victims more shocking.[28]

Six placed a Japanese male at the front of the centipede to create a language barrier between the doctor and the centipede. Throughout the film the characters (with the exception of Heiter who for the most part speaks to the centipede in English) speak in their native languages only (subtitled for the viewer into English where necessary). Katsuro, as the front part of the centipede, can only speak Japanese and therefore cannot speak with either the doctor or Jenny and Lindsay. Secondly, Katsuro's position in the centipede sets up the opportunity for the doctor and the male victim of the centipede to fight toward the climax of the film.[29] Six stated in the director's commentary for The Human Centipede that he has a personal fear of hospitals and doctors, so he stretched out the scene where Heiter explains how he will create the centipede and the subsequent procedure to create his "own nightmare."[30]

While seeking funding for the film, Six pitched the idea of a surgeon who sewed people together.[31] He did not initially reveal that the victims would be joined mouth-to-anus, as he believed this idea would stand no chance of receiving investments.[32] His backers felt that the idea of a surgeon sewing people together was original and Six received funding.[31] However, they did not learn the exact details of the film until it had been completed.[7] Six claimed that they were very happy with the finished film.[33] Before signing on, the actors were given an outline of the storyboard rather than a complete script. They were also shown sketches of how the centipede would be formed.[9]

Although The Human Centipede is set in Germany, principal photography took place in the Netherlands due to the neighbouring countries' similar landscapes.[34] Heiter's home, where most of The Human Centipede takes place, was a villa in the Netherlands found by the production team. The property was in a residential area and not surrounded by woodland as it appears in the film, but by other houses. This meant the filmmakers had some difficulty ensuring that the other houses did not appear in shot.[35] Some conversion of the property took place prior to filming, such as a home theater which was converted to form Heiter's basement operating room,[36] with real hospital beds and intravenous drips rented from a local hospital.[37] The paintings of conjoined twins that were displayed throughout the house were painted by Tom Six, which he felt contributed to the atmosphere in the house.[38] The hotel room scene near the beginning of the film was filmed in a hotel suite at a location near Amsterdam.[39] The film was shot almost entirely in sequence, which Yennie stated helped the actors to develop their characters throughout the film.[12] The opening scene, which only featured Laser and de Wit, was shot on the last day of filming.[40] 152ee80cbc

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