15 Underrated Movies Set In A Mysterious Institution With A Deadly Secret

List Rules
Vote up the best movies that might scare you away from hospitals forever.

When it comes to making a spooky, atmospheric movie, it's all about location, location, location. Sure, sometimes it helps to set the action in familiar surroundings, to juxtapose them against whatever menace may be stalking our protagonists (i.e. Halloween). But for conjuring atmosphere, nothing beats a location that's already eerie - and few locations can out-creep a mysterious institution where more goes on than meets the eye.

Not only does such a setting bring a wealth of great, atmospheric locations to the film right away, but it also introduces twisty psychological elements like unreliable narrators and the inevitable last act reveals. Maybe the inmates were running the asylum the whole time, or maybe the person who we thought was investigating the institution from the outside was actually a patient - or maybe we're supposed to think they are, when really they're being held under false pretenses. There are lots of possibilities - and lots of movies that have explored them. Here are a few that you might have missed.

  • 1
    155 VOTES

    When it comes to twists in movies about sinister institutions, it doesn't come much more common than the person investigating the institution actually being a patient and that everything we, the audience, thought we knew was all in their head. Still, even the most tired cliches can be elevated by the right cast and crew, and when you've got Martin Scorsese adapting a novel by Dennis Lehane, you're on the right track.

    Add in atmospheric photography and set design to create Boston's eponymous Shutter Island and its hospital for the criminally insane, a soundtrack of modern classical music, as well as an all-star cast, and you've got a picture to be reckoned with.

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  • 2
    144 VOTES

    The doctor-turned-patient is a classic twist in dozens of psychological thrillers, relying on an unreliable narrator to keep the audience guessing about what's really happening and what's all in their head. Add in a potential ghost story, and you've got this flick from Dark Castle Entertainment. For those who don't remember Dark Castle, they made a spate of stylized horror pictures in the early 2000s, including remakes of House on Haunted Hill and Thirteen Ghosts.

    Gothika was the company's first entirely original production, and features Halle Berry as a psychiatrist in a prison where she becomes incarcerated after being accused of the slaying of her husband. As she tries to sort out what really happened, she learns that people in the place have been keeping secrets, and has to figure out whom she can trust among the cast of characters, including a pre-Iron Man Robert Downey Jr.

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  • Despite the fact director Gore Verbinski had previously helmed a contemporary horror classic (the American remake of The Ring) and a Disney blockbuster (Pirates of the Caribbean), his passion project, A Cure for Wellness, was a box office bust. Which is a shame, because this bizarre and twisty story about an executive at a financial services firm who travels to the Swiss Alps to bring back the company's CEO, who has checked into a mysterious "wellness center" and refuses to return, has atmosphere to spare.

    Besides a robust 146-minute runtime, the film's very twistiness may have worked against it, as it's difficult to sell A Cure for Wellness without delving into spoilers about what our protagonist finds there. Rest assured it's something much stranger than the typical twists you may have seen in other pictures, and by the time the film reaches its entirely bonkers third act, we are well into mad science and high gothic territory.

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  • 4
    101 VOTES

    Set - and actually filmed - in and around the abandoned Danvers State Hospital, Session 9 merges the hospital's decaying hallways and actual reputation for spooky goings-on with a fictional account of an asbestos abatement crew who stumble upon dark secrets hidden away within the walls, while also succumbing to fractures in their own psyches due to the pressures of their blue-collar lives.

    The result is a masterpiece of suggestion and creeping anxiety, as the walls of the abandoned institution begin to (maybe only figuratively) close in around them. Director Brad Anderson made a splash on the indie horror scene with this cinéma vérité-style minimalist horror picture, which makes ample use of its extremely creepy setting.

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  • Director Brad Anderson made a name for himself with a series of twisty psychological thrillers like Session 9 and The Machinist. While a later and less well-known entry into his canon, Stonehearst Asylum is no less twisty or psychological, and it boasts a star-studded cast in the form of Kate Beckinsale, Michael Caine, Brendan Gleeson, and Ben Kingsley, among others.

    Though it plays things close to the vest, the plot, which takes place in a turn-of-the-century mental institution, is actually an adaptation of one of Edgar Allan Poe's more humorous and satirical short stories, "The System of Doctor Tarr and Professor Fether," which has been adapted to film several times over the years. As such, its big twist (that the patients are actually running the asylum) may be transparent to anyone familiar with the story or its many other adaptations, but the movie isn't done twisting there...

  • Acclaimed director Park Chan-wook followed up his vengeance trilogy (Sympathy for Mr. Vengeance, Oldboy, Lady Vengeance) with this eccentric and underseen flick about a pair of patients at a mental hospital who fall in love, protecting one another without discouraging their delusions or idiosyncrasies. Young-goon believes she is a cyborg, while Il-soon is schizophrenic and believes he can, among other things, take on traits from the people around him. Together, the two form an unlikely bond that includes fantasies of destroying all of the "men in white" who run the institution, as well as going out into a torrential thunderstorm in the hopes of getting struck by lightning to supercharge Young-goon.

    The resulting tonal concoction may have a 91% on Rotten Tomatoes, but it doesn't enjoy the same fame as Park's more consistently dark films.