Favouring make-up effects over computer-generated imagery, the film quickly found respect among horror fans.

After seeing High Tension, American director Wes Craven asked Aja to come up with a concept for the remake of his 1977 film The Hills Have Eyes.

The other Splat Pack members are Darren Lynn Bousman, Neil Marshall, Greg McLean, Eli Roth, James Wan, Leigh Whannell, and Rob Zombie.

In 2013, he directed the dark fantasy thriller Horns, starring Daniel Radcliffe, Juno Temple, Joe Anderson, James Remar, Kelli Garner and Max Minghella.

He also produced the 2014 horror film The Pyramid directed by Grégory Levasseur and starring Ashley Hinshaw, Denis O'Hare, and James Buckley.

Aja produced and directed the 2016 psychological thriller film The 9th Life of Louis Drax, which is based on a novel by Liz Jensen.

[6] Aja is set to direct a live action adaptation of the manga series Space Adventure Cobra,[7] and the Mice and Mystics film for Dreamworks Animation.