is a 2012 horror film staring Katherine Isabelle, and directed by the Soska Sisters. It focuses on a young surgery student, Mary Mason, with financial troubles, resorting to stripping. But at her interview at the strip club, Mary is asked to performed surgery on an injured man, the reward being a large sum of cash. Soon, Mary begins to receive customers looking for extreme body modification, and her mind begins to unravel after betrayal from her medical school professor. The trauma forces her to quit and as the movie goes on she finds herself involved in the underground world of bod-mod, pushing the limits more and more.
- Affably Evil: Mary herself becomes this, along with Billy and Lance.
- American Title: Ironic considering it's a Canadian film. It does, however, take place in Seattle. Word of God however tells us that "American" stands for the fact that the main character is living a slightly morbid version of the American Dream.
- And I Must Scream: Quite literally with Dr. Grant.
- Asshole Victim: Dr. Grant, again.
- Barbie Doll Anatomy: Ruby wants this for real, out of a desire to not be seen as a sex object.
- Body Horror: The film introduces body modification as a form of torture, which Mary uses on Dr. Grant. She alters his genitals, sews his mouth shut, and chops off various limbs, and leaves him in suspension for days on end.
- Ruby, Mary's first client, has her nipples cut off and her vagina sewn together.
- Two twins wanted their left arms exchanged, and horns placed on their foreheads.
- Black and Grey Morality
- Break the Cutie
- Brilliant but Lazy: Subverted - Mary's lecturers believe her to be this, but when she misses lectures it's due to money troubles or other mitigating circumstances.
- Celebrity Resemblance: Beatress deliberately cultivates this, but the celebrity she is changing herself to resemble is a cartoon character.
- Creator Cameo: The Soska Sisters appear as a pair of Creepy Twins.
- Creepy Twins: The Soska sisters.
- Dark Chick: Mary.
- Deadpan Snarker: Mary, so much. Everything she says is practically dripping with sarcasm.
- Despair Event Horizon
- Downer Ending: Mary is attacked by Ruby's boyfriend (who is angered over the skin-removal surgery) right after showing a hint of wanting to get out of the shady business.
- Dull Surprise: Deliberately invoked. Mary becomes steadily more detached and deadpan as the events of the film desensitise her.
- Fanservice: Katharine Isabelle in lingerie.
- Gentle Giant: Lance, who is generally nice to Mary even after she goes off the deep end.
- Good Is Not Nice: It should be noted however that he hunted down his mother's murderer and beat him to death with his bare hands. He also openly admires Mary's Cold-Blooded Torture of Dr Grant.
- Hey, It's That Guy!: Mary is played by Katherine Isabelle, who is famous for her roles as Ginger Fitzgerald and Gibb.
- Incest Subtext: The Soska sisters again.
- Ironic Echo: Mary to Dr. Grant - "Surgeons can't afford to make mistakes."
- Jerk Ass: Dr. Walsh's Establishing Character Moment is asking Mary to deliver the bad news to a family that their father has just had a heart attack... and then to go back two seconds later and tell them that he has died. Regardless of any hard lessons he is trying to impart to his interns, this is incredibly insensitive to the patient's family.
- Legitimate Businessmen's Social Club: Although it's never outright stated, Billy and the other club owners are heavily implied to be mafia.
- Mad Doctor: Drs. Grant and Walsh, not to mention the young surgeon at the party ("I cut people up for a living!"). And after a while, Mary herself.
- Misplaced Retribution: The finale revolves around Ruby's boyfriend flipping out after seeing her voluntary Barbie Doll Anatomy, and holding Beatress and Mary responsible.
- Nightmare Fetishist: Pretty much all of Mary's clients.
- Noodle Incident: Quite a few events are never explained, such as how Mary's first patient got injured, and what Mary's grandmother said to her that prompted Mary to delete her from her contacts. However, when one listens to the audio commentary track on the DVD, one finds out that Mary's grandmother dies.
- Pay Evil unto Evil: And unfortunately for the victim, Rape Is a Special Kind of Evil.
- Police Are Useless
- Plot Irrelevant Villain: Ruby's boyfriend. His only effect on the plot is that he kills Mary at the end and even then it comes off as a Diabolus Ex Machina.
- Rape as Drama: Mary is roofied and raped by her professor.
- Red Baron: Mary picks up the suitably macabre nickname of "Bloody Mary" among the online body modification community.
- Roaring Rampage of Revenge: Mary uses body modification on Dr. Grant and keeps him alive. He is left unable to call for help or run away.
- Ruby's husband attacks Mary over his wife's surgery.
- Tap on the Head: Defied. A security guard discovers Mary's torture chamber, punches her to the ground, and turns away to try and help her victim - Mary recovers almost immediately, surprises him from behind, and beats him to death.
- Torture Porn
- To the Pain: Mary lists off the most common body modifications that she wishes to 'practice' on Dr. Grant.
- Unresolved Sexual Tension: Billy repeatedly fantasizes about Mary, and kidnaps and beats Dr. Walsh to death after he finds out what he and Dr Grant did to her. For her part, Mary shows almost complete indifference to Billy's advances (barring the very end, ironically right before she is murdered) but comes close to stabbing another girl after walking in on her sucking him off.
- The Voice: Mary's grandmother in Budapest.