"Madhouse" is one of the best asylum-set horror films I've ever seen (not quite as good as "Session 9", though), and provides for some good spooky entertainment. The film begins with Clark Stevens (Joshua Leonard, "The Blair Witch Project"), who is sent off to intern at a secluded mental institution for the criminally insane. The place is old and has quite a lengthy history. While staying at the asylum, he meets Sara (Jordan Ladd, "Cabin Fever"), a hospital employee, and the two begin to hit it off. Then, one day, Sara takes Clark to the basement of the asylum, which, unlike the rest of the nicely renovated building, is dark, damp, and rotting away. Only the most violent and insane patients are kept in the darkened dungeon-like rooms, and Clark begins to have a conversational relationship with an unseen patient who resides in one of the cells, who seems to know a lot about the hospital's history. But more secrets are unraveled and someone begins murdering people around the hospital, and Clark finds himself responsible to investigate.
I have to admit, this movie really surprised me. I was expecting something along the lines of cheap, straight-to-video trash to be honest, but I was pleasantly surprised with this creepy little mystery thriller. For one, I liked the story. An isolated mental institution with a violent history is a perfect place to set a horror movie - and this film makes good use of it, with the perfectly constructed and very spooky sets. The actors were also very good - Joshua Leonard was convincing as the intuitive intern, and Jordan Ladd really displays her acting skills. Natasha Lyonne also had a role as an insane patient, and she played it very well. Then there's the scares. I've seen hundreds of horror movies, and I am rarely scared by them, but this one succeeded in getting quite a few scares out of me. The scares were very well placed and got my heart pumping pretty fast. One of the scariest had to be the scene with the nurse who is pushed down the stairwell, the camera-work was clever and was the main reason that the bit was so jolting. Very unexpected and very scary.
Another addition to the film's overall creepiness are the patients that reside in the asylum basement, good God they were scary. They're made out to be the most insane, mentally disturbed patients in the building - and that they are, not only in a mental aspect but also physically. The makeup job had them looking beyond scary, and the actors that played them made their characters just flat out bizarre and oddly disturbing. I'm actually surprised that this film never got a wide theater run, because it's easily worthy of it, and is much better than half of the teen-horror trash that is put out there lately.
All things considered, "Madhouse" is a unique and surprisingly scary horror film, and the twist in the end adds the film's overall atmosphere. I was actually scared on a few occasions, which is really rare. And going in, my expectations were low, but this movie really delivered. Try watching it all alone at night, with all the lights off - trust me, you'll get spooked on more than a few occasions. 8/10.
