Madhouse
Performance & Direction: Madhouse Review
Last updated: January 21, 2026
Quick Verdict: Hit or Flop?
Is Madhouse (2004) worth watching? According to our cinematic analysis, the film stands as a ABOVE AVERAGE with a verified audience rating of 5.7/10. Whether you're looking for the box office collection, ending explained, or parents guide, our review covers everything you need to know about this Horror.
Cast Performances: A Masterclass
The success of any Horror is often anchored by its ensemble, and Madhouse features a noteworthy lineup led by Joshua Leonard . Supported by the likes of Jordan Ladd and Natasha Lyonne , the performances bring a palpable realism to the scripted words.
Performance Analysis: While the cast delivers competent and professional performances, they are occasionally hampered by a script that leans into familiar archetypes.
Final Verdict: Is it Worth Watching?
In summary, our editorial assessment of Madhouse (2004) is mixed. With an audience rating of 5.7/10, it stands as a highly recommended experience for genre enthusiasts.
Story & Plot Summary: Madhouse
Quick Plot Summary: Madhouse is a Horror, Thriller film that crafts an atmosphere of dread and suspense, using psychological terror and visual scares. This summary provides a scannable look at the movie's central conflict and narrative structure.
Ending Explained: Madhouse
Ending Breakdown: Madhouse attempts to tie together its various plot elements. The finale presents its approach to horror resolution.
The final reveal recontextualizes earlier scenes, offering viewers material for post-viewing discussion.
Ending Analysis:
- Narrative Resolution: The story concludes by addressing its primary narrative threads, providing closure while maintaining some ambiguity.
- Character Arcs: Character journeys reach their narrative endpoints, reflecting the film's thematic priorities.
- Thematic Payoff: The ending reinforces the horror themes established throughout the runtime.
The final moments of Madhouse reflect the filmmakers' creative choices, offering an ending that aligns with the film's tone and style.
Who Should Watch Madhouse?
Consider Watching If:
- You're a completist for Horror films
- You're curious despite mixed reviews
- You have low expectations and want casual entertainment
Top Cast: Madhouse
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Where to Watch Madhouse Online?
Streaming Hub🎟️ Rent on
Amazon Video
Apple TV
Google Play Movies
YouTube
Fandango At Home🏷️ Buy on
Amazon Video
Apple TV
Google Play Movies
YouTube
Fandango At HomeMadhouse Parents Guide & Age Rating
2004 AdvisoryWondering about Madhouse age rating or if it's safe for kids? Here is our cinematic advisory:
⏱️ Runtime & Duration
The total runtime of Madhouse is 91 minutes (1h 31m). Ensuring you have enough time for the full cinematic experience.
Final Verdict
Analyzing the audience sentiment, IMDb rating of 5.7/10, and global collection metrics, Madhouse stands as a challenging project for the creators. It remains an essential piece of the 2004 cinematic year.
Frequently Asked Questions
Is Madhouse worth watching?
Madhouse is definitely worth watching if you enjoy Horror movies. It has a verified rating of 5.7/10 and stands as a ABOVE AVERAGE in our box office analysis.
Where can I find Madhouse parents guide and age rating?
The official parents guide for Madhouse identifies it as R. Our detailed advisory section above covers all content warnings for families.
What is the total runtime of Madhouse?
The total duration of Madhouse is 91 minutes, which is approximately 1h 31m long.
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Critic Reviews for Madhouse
We all go a little crazy sometimes. Straight to DVD fare it may be, but it has some merit as a spooker to make it worth spending time with. Plot finds Joshua Leonard as a psychiatric intern who arrives at Cunningham Hall Mental Facility and quickly finds that all is not as it seems. It’s hardly an original concept, that of a mental asylum housing something sinister, either supernatural or of human origin, but director and co-writer William Butler has a good feel for a chilly atmosphere, while he’s not scrimping on the shocks and terrifying imagery either. The asylum is a suitably depressing place, unhealthily cold to look at and the patients milling about the place are the requisite hot-pot of sad cases and the disturbed. Then there is the basement ward, of course, where the extreme cases are kept in cells, and it looks like something straight out of Hades. Jordan Ladd is on hand for eye candy and romantic thread duties, and Lance Henriksen adds his horror weight to the role of Governor of Cunningham Hall. It’s all very competently performed and constructed, the screenplay full of killings, dark corridor peril, secrets and a curveball twist thrown in as well. It doesn’t push any boundaries, so searching for anything new here will only end up in disappointment. Yet it’s stylish and creepy enough to warrant a night in with the lights turned off. 6/10
movieMx Verified
This review has been verified for accuracy and editorial quality by our senior cinematic analysts.
This analysis is compiled by our editorial experts using multi-source verification and audience sentiment data for maximum accuracy.









