It stars Alexa Vega, Anthony Stewart Head, Sarah Brightman, Paris Hilton, Nivek Ogre, Zdunich, Bill Moseley, and Paul Sorvino.

premiered at the Fantasia Film Festival in July 2008,[6] followed by a limited release on November 7, 2008, on seven screens in various cities.

Shilo has inherited a rare blood disease from Marni that requires her to stay indoors, though she longs to see the outside world ("Infected").

Shilo's overprotective father Nathan believes he accidentally killed Marni with a treatment he created for her illness – in truth, a jealous Rotti secretly poisoned Marni's medicine and blackmailed Nathan, promising not to arrest him for manslaughter if he agreed to become GeneCo's head Repo Man, though he has convinced Shilo he is a doctor ("Legal Assassin").

Born blind, Mag has been given surgically enhanced eyes by GeneCo at the cost of indefinite employment, though she is soon resigning.

GraveRobber helps Shilo escape the fairgrounds, encountering several of his customers, including the surgery-addicted Amber ("Zydrate Anatomy").

Nathan refuses to repossess Mag's eyes, citing her close friendship with Marni ("Night Surgeon").

Shilo is approached by a Repo Man and attacks him with a shovel, revealing him as Nathan, much to her horror ("Let the Monster Rise").

Onstage, Rotti reveals that Nathan has been poisoning Shilo's "medicine" in an attempt to keep her safe from the outside world after being unable to cope with the loss of Marni.

After a tearful farewell to her father ("I Didn't Know I'd Love You So Much"), Shilo decides that Nathan's actions do not dictate her future ("Genetic Emancipation").

Amber inherits the company instead and auctions her fallen face to charity, which Pavi wins after Luigi kills the top three bidders.

The Blu-ray contains all DVD features including a select-scene audio commentary by Bousman and Hilton, two additional featurettes, a video sing-along with bouncing heart, four deleted scenes and the theatrical trailer.

"[18] Metacritic, which uses a weighted average, assigned the film a score of 32 out of 100, based on 15 critics, indicating "generally unfavorable" reviews.

[19] Nathan Lee for The New York Times declared the film "feels destined to please a campy coterie of fans and no one else" and criticized the music, saying, "A few catchy melodies, some clever lyrics or even a sense that the score wasn't just one long, unmodulated track might have energized this singularly inert tale..."[20] Tasha Robinson for The A.V.

The songs are generally overextended, which is a particular problem given that most of them are also atonal and dull, either chanted or seemingly assembled from a series of clunky, ill-fitting, barely rhyming lines."

And ultimately "...I spent the vast majority of the film either bored or squirming with discomfort over the cheap gore, the arrhythmic songs, and the phenomenally bombastic performances..."[21] Repo!

The film's full eleven-theater release earned $146,750 in the United States, and an additional $41,376 internationally, for a total of $188,126 worldwide.