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The Human Centipede (First Sequence) is a 2009 Dutch horror film written, directed, and co-produced by Tom Six. The film tells the story of a German surgeon who kidnaps three tourists and joins them surgically, mouth to anus, forming a "human centipede", a conjoined triplet. It stars Dieter Laser as the creator of the centipede, Dr. Josef Heiter, with Ashley C. Williams, Ashlynn Yennie, and Akihiro Kitamura as his victims.

The Human Centipede (First Sequence)
Theatrical release poster
Directed byTom Six
Produced by
  • Tom Six
  • Ilona Six
Written byTom Six
Starring
  • Dieter Laser
  • Ashley C. Williams
  • Ashlynn Yennie
  • Akihiro Kitamura
Music by
  • Patrick Savage
  • Holeg Spies
CinematographyGoof de Koning
Edited byNigel de Hond
Tom Six
Production
company
Six Entertainment
Distributed byBounty Films
Release date
  • 30 August 2009 (2009-08-30) (London FrightFest Film Festival)
Running time
92 minutes
CountryNetherlands
Language
  • English
  • German
  • Japanese
Box office$252,207 (approx. €187,000)

When approaching investors prior to filming, Six did not mention the mouth-to-anus aspect of the plot, fearing it would put off potential backers. The financiers of The Human Centipede did not discover the full nature of the film until it was complete. The film received generally mixed reviews from film critics, but it won several accolades at international film festivals. The film began a limited theatrical release in the United States on 30 April 2010. Two sequels, titled Full Sequence and Final Sequence, also written and directed by Six, were released in 2011 and 2015, respectively. The entire trilogy was compiled into a single film in 2016, titled Complete Sequence, which Six described as a "movie centipede" due to each Sequence leading into its successor, while simultaneously working as a separate standalone film.

Screenplay

In Germany, American tourists Lindsay and Jenny are drugged and abducted detained by crazed surgeon Dr. Josef Heiter when they seek help for a flat tire. They awake in a makeshift medical ward, and witness Heiter kill a kidnapped truck driver after Heiter informs him he is "not a match". Heiter secures a new male captive, Japanese tourist Katsuro. The surgeon explains that he is an expert at separating Siamese twins, but dreams of making new creatures by sewing people together. He describes how he will surgically connect his three victims mouth-to-anus, so that they share a single digestive system, creating a "human centipede".

After Lindsay tries to escape, Heiter decides to make her the middle part of the centipede, the most painful position. Heiter performs the surgery, placing Katsuro at the lead. He removes the front teeth of both women and mutilates the buttocks of Katsuro and Lindsay to provide access to the rectums, to which he grafts their mouths. He severs the ligaments of his victims' knees to prevent leg extension, forcing his victims to crawl.

Heiter attempts to train his centipede as a pet, belittling Katsuro with racist insults and beating him when he becomes rebellious. When Katsuro defecates, Lindsay is forced to swallow his excrement while Heiter watches in delight. However, he becomes irritated after being kept awake by Katsuro's constant screaming and the realization that Jenny is dying from septicemia.

When detectives Kranz and Voller visit the house to investigate the disappearance of the tourists, Heiter plans to replace Jenny with them, creating a four-human centipede, and gives them spiked drinks. The detectives become suspicious and obtain a search warrant for his home. When the detectives leave, Katsuro attacks Heiter and the victims attempt to escape. Katsuro tells Heiter that he deserves his fate because he had treated his family poorly, and commits suicide by slitting his throat with a glass shard.

The detectives return and conduct searches while Heiter hides. Kranz finds the ward along with Heiter's victims. Voller begins to feel ill from the drugging, and Heiter stabs him with a scalpel pulled from his leg during Katsuro's attack; he shoots Kranz with Voller's sidearm. Kranz shoots Heiter in the head before dying. Jenny and Lindsay hold hands as Jenny dies. Lindsay sobs as she is left trapped between her deceased fellow captives.

 
Stars Ashlynn Yennie, Ashley C. Williams, and Akihiro Kitamura at the Big Apple Convention in Manhattan, 1 October 2010.
  • Dieter Laser as Dr. Josef Heiter, a retired surgeon who specialised in the separation of conjoined twins, but in retirement is more interested in joining creatures together. Casting for the role of Heiter took place in Berlin, and Six intended to cast Laser before he had even read for the part, after Six saw a DVD of one of Laser's previous films. Laser had previously appeared in over 60 mostly German-language films, including Der Unhold and Baltic Storm (he speaks German in parts of The Human Centipede as well). Upon meeting him in Berlin, Six gave Laser a shot-by-shot explanation of Heiter's scenes, and Laser, impressed by Six's dedication and passion, agreed to take part in the film. Laser contributed considerably to the development of Heiter's character. For example, because Heiter views the "centipede" as his pet, Laser felt that it was important that Heiter appear naked during a scene in which he swam in full view of his victims, because Laser said "you aren't ashamed to be naked" around a pet.
  • Ashley C. Williams as Lindsay, an American tourist, a friend of Jenny's, and the central section of the centipede. Auditioning for the roles of Jenny and Lindsay took place in New York City. Six said during the auditioning process, many actresses walked out of readings in disgust after hearing the full nature of the role. Others thought they would be able to take on the role, but found it was "too much" for them once they got onto their hands and knees behind another actor. Williams expressed concern about the nudity expected of her in the film, but took the role when she was assured it would be modest and of a non-sexual nature.
  • Ashlynn Yennie as Jenny, an American tourist, a friend of Lindsay's, and the rear section of the centipede. As with Williams, The Human Centipede was Yennie's first major film role. Yennie was one of several actresses to audition for the role, as the producers searched for an actress who would have good on-screen chemistry with Williams. Yennie was able to further develop her relationship with Williams when the pair shared an apartment in the Netherlands during filming. Yennie auditioned to Ilona Six, the film's producer and sister of Tom Six, and did not meet Tom Six, who had viewed tapes of her reading, until fitting for the centipede special effects in the Netherlands. Yennie was drawn to the role by the humanity throughout the story, referring to how the three victims of Heiter are unwillingly forced into their situation. She also said the story was so realistic it scared her.
  • Akihiro Kitamura as Katsuro, a Japanese tourist and front section of the centipede. Having already acted in or written for a number of films and television shows (including popular American television series Heroes), Kitamura was a relatively experienced actor compared to other cast members. He auditioned for the role of Katsuro via Skype from Los Angeles after the casting director saw him on television and recommended him for the role. The rest of the cast did not meet Kitamura until the day before shooting commenced.
  • Rene de Wit as Truck Driver, one of Heiter's victims. De Wit had previously worked with Six in his 2008 film I Love Dries.
  • Andreas Leupold as Detective Kranz, a police officer.
  • Peter Blankenstein as Detective Voller, a police officer.

Writing

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. Six saw this as the concept for a great horror film, and he began to develop the idea. He has said he was heavily influenced as a filmmaker by the early works of David Cronenberg and Japanese horror films. Six has said he prefers horror films that are more realistic over "unbelievable" monster films, and that he gets "a rash from too much political correctness." A major influence for The Human Centipede was Pier Paolo Pasolini's controversial 1975 Italian drama film Salò, 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. Six has also expressed his love of the works of David Lynch. 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."

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." 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. Laser stated in an interview with Clark Collis for Entertainment Weekly that he considered the film a "grotesque about the Nazi psyche". 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. World War II also played an influence on the nationality of the other main characters who were American and Japanese. Six includes many horror film clichés in the first act, such as a broken-down car, lack of phone signal and very naïve victims. 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.

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. 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."

While seeking funding for the film, Six pitched the idea of a surgeon who sewed people together. He did not initially reveal that the victims would be joined mouth

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