He has a preliminary interview with the authoritarian warden Lionel Rutherford, who says that London-trained doctors like Martin do not understand the realities of mental illness.
Instead an orderly, Max Reynolds, admits Martin through the security door and takes him on a tour of the inmates' solitary confinement cells.
Ruth grew up in an unspecified part of Africa and maintains a respect for its magical traditions, whose power allegedly extends "beyond life and death".
In his account, poverty and impending eviction force him to accept the unusual request of a Mr Smith, who wants a suit made in a highly ritualistic manner from a mysterious, scintillating fabric that must be sewn only after midnight.
Bruno delivers the finished suit in person to Mr Smith, and finds his house bare of furniture except for a coffin containing the son's corpse.
Smith explains that the suit was ordered to the specifications of an ancient magical text, and that the dead man will return to life when dressed in it.
The mannequin comes to life and strangles Bruno; he survives the attack, but his explanation of what happened, along with his belief that Otto is still at large somewhere in the city, lead him to be declared insane.
The fourth and last patient is Dr Byron, who declares his mastery of neurology and other branches of the discipline, and appears to hold Rutherford in contempt.
Initially elated by the chance to speak with a new colleague, Byron tells Martin that he has become interested in a new direction of research, involving the assembly of small dolls.
Horrified, Martin crushes the doll, which breaks open to reveal living viscera inside; Dr Byron dies in his room on the spot.
Selections from his Pictures at an Exhibition are also used: "Gnomus" is heard as Martin looks at a series of engravings depicting the imprisonment of an 18th-century madman, and during the sequence of Byron's mannequin coming to life and making its way downstairs.
The booming crescendo of "The Hut on Hen's Legs" is heard over the sequence where Otto the tailor's dummy comes to life and attacks Bruno.
New special features were added as well, including an interview with Fiona Subotsky, the producer's widow, who discusses his life, and the history of Amicus.