Is Madhouse Worth Watching?
Answer: Maybe not, Madhouse is likely a skip if you enjoy Horror movies.
It features a runtime of 93 minutes and offers a standard storyline that appeals to mature audiences.

Verdict:Madhouse is a confirmed FLOP based on our analysis of audience ratings and box office momentum.
With a rating of 5.5/10, it has delivered a mixed experience for fans of the Horror genre.
Answer: Maybe not, Madhouse is likely a skip if you enjoy Horror movies.
It features a runtime of 93 minutes and offers a standard storyline that appeals to mature audiences.
Last updated: January 18, 2026
Released in the dynamic cinematic landscape of 1981, Madhouse emerges as a significant entry in the Horror domain. The narrative core of the film focuses on a sophisticated exploration of A woman is pursued by her murderous, psychopathic twin sister in the days leading up to their birthday. Unlike standard genre fare, Madhouse attempts to deconstruct traditional tropes, offering a conventional take on its central themes.
The success of any Horror is often anchored by its ensemble, and Madhouse features a noteworthy lineup led by Patricia Mickey . Supported by the likes of Allison Biggers and Michael MacRae , 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.
In summary, our editorial assessment of Madhouse (1981) is mixed. With an audience rating of 5.5/10, it stands as a highly recommended experience for genre enthusiasts.
Quick Plot Summary: Madhouse is a Horror 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 Breakdown: Madhouse attempts to tie together its various plot elements. The finale presents its approach to horror resolution.
The conclusion addresses the core thematic questions, offering viewers material for post-viewing discussion.
The final moments of Madhouse reflect the filmmakers' creative choices, offering an ending that aligns with the film's tone and style.
Consider Watching If:



ARROW
Amazon Video
Apple TV
Google Play Movies
YouTube
Amazon Video
Apple TV
Google Play Movies
YouTubeAnalyzing the audience sentiment, IMDb rating of 5.5/10, and global collection metrics, Madhouse stands as a challenging project for the creators. It remains an essential piece of the 1981 cinematic year.
Madhouse has received mixed reviews with a 5.5/10 rating, making it a moderate success with the audience.
Madhouse is a mixed bag. It might be worth watching if you're a fan of Horror movies, but read reviews first.
Madhouse is currently available for streaming on ARROW. You can also check for it on platforms like ARROW depending on your region.
**_Slow slasher set in Savannah pays off with the last act_** A teacher of deaf kids is haunted by her upbringing with her crazy twin sister. When it’s discovered that she’s escaped the institution, people around her start dying. This builds up to the sisters’ birthday. While technically an Italian production, “Madhouse” (1981) was shot in America with American actors and is also known as “There Was a Little Girl.” While the first hour is mostly unhurried drama, this is the foundation for the crazy last act. The producer/director/writer Ovidio G. Assonitis gives hints of what’s really going on, but doesn’t spell it out. He respected the viewer to put the pieces together. The film should also be esteemed for featuring something that didn’t become in vogue until fifteen years later with “Scream,” although the contemporaneous “Just Before Dawn” did it as well. Meanwhile the ending borrows something from “The Night Strangler” from eight years prior. This was protagonist Trish Everly’s only proper film and starring role, which is strange since she’s a convincing actress. She happened to be a member of Dean Martin's singing/dancing group the Golddiggers from 1969-1971 and had bit parts in several TV series and a few TV movies. Her real name is Patricia Mickey. Also worth mentioning on the beauty front is blonde Morgan Most as Helen. Interestingly, James Cameron believed that Assonitis (listed as Oliver Hellman in the credits) would hire American directors to get funding from studios for his projects and then find an excuse to fire them and direct himself. The proof for this, it is claimed, is “Beyond the Door,” this movie, and “Piranha 2: The Spawning.” It runs 1 hour, 32 minutes, and was shot in Savannah, Georgia. GRADE: B-
This analysis is compiled by our editorial experts using multi-source verification and audience sentiment data for maximum accuracy.