[2] Inside of an old, decrepit insane asylum in Auckland, detained serial killer Simon Cartwright (Paolo Rotondo) seeks to be reevaluated by an outside psychiatrist to prove that he has been cured.
Simon endures abuse from two orderlies, Philip and Robert (Paul Glover and Christopher Graham), at the asylum.
When Karen arrives, she argues with the head of the asylum, Dr. Marlowe (Roy Ward), who believes she is getting involved in Simon's case for publicity.
As she is led to her first session with Simon, another patient named Marge (Darien Takle) warns Karen to watch out for "The Ugly."
She drove away the only person Simon had ever cared about, Julie (Vanessa Byrnes), and had prevented his wealthy father from taking custody and giving him a better life.
Director Scott Reynolds made a stylistic decision to depict all blood shed in the movie as a dark, black colour.
Author John Kenneth Muir writes in his book, Horror Films of the 1990s, about how this visual cue may suggest that Simon never saw his victims as being human, making it easier for him to kill.