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Wile the opening third is laboriously slow and drawn out, the story fortunately picks up steam and really starts cooking when the boat passengers reach the island: The island location projects a profoundly unsettling feeling of isolation and vulnerability, the cannibal's filthy corpse-strewn underground lair is a truly scary place, and, of course, the moments of intense hardcore splatter deliver the disgusting goods (stomach-churning highlights include a meat cleaver to the face, a severed head in a bucket, a couple of torn out jugular veins gushing blood, the infamous fetus eating scene, and the gloriously gruesome climax with the cannibal munching on his own intestines).