A few thoughts: Starting off with an impressively realistic car crash sequence, this slasher-thriller wastes no time getting into the meat of things, which is basically just an alternate take on The Hands of Orlac, Mad Love, etc. With this unrealistic premise the movie takes a fairly grounded and somewhat logical approach. The main character, played wonderfully by Jeff Fahey, slowly descends into madness but the actions he takes and the conclusions he comes to are reasonable, rational, and make him an easy character to empathize with. Story-wise, well, there's really nothing that happens here to set it apart from the many other versions of the same basic story. It moves in predictable ways, but the journey there works and the twist, while not ingenius, was executed well. It's a competently constructed thriller, and the performances are good enough to keep you invested. No, this isn't a groundbreaking film at all, but it does a good job at telling its story, and gives Brad Dourif a few great moments -- and that's always welcome.