Recap / The X-Files S04 E06 "Sanguinarium"

Mulder and Scully investigate a series of fatalities in a hospital's plastic surgery unit, each committed by a different doctor who claims to have no memory of the event.


  • The Bad Guy Wins: Dr. Franklin gets away at the end, having achieved the goal for which he committed the murders.
  • Blood Bath: Nurse Waite is discovered lying in wait for Dr. Franklyn at his house, submerged in a bathtub filled with blood.
  • Decoy Damsel: Dr. Jack Franklin frames Nurse Waite by pretending to be her victim.
  • Deadly Doctor:
    • Subverted. All the doctors are committing murders due to manipulation by devil worship.
    • Dr. Richard Cox/Dr. Jack Franklin/Dr. Hartman is this trope played straight.
  • Good All Along / Red Herring: Nurse Waite is trying to stop the murders instead of committing them.
  • Gory Discretion Shot: Averted mostly. Remarkably gory for an X-Files episode with scenes of face peeling and fat being sucked out of a belly and other icky stuff.
  • Medical Horror: Features death by liposuction, death by plastic surgery and various other horrifying scenes.
  • Tear Your Face Off: The Monster of the Week conducts a ritual that will allow him to change his face by killing hospital patients as sacrifice. In the end, he cuts his face with a scalpel and rips it off, revealing the new one underneath it. Mulder later finds the old one lying on the floor.
  • Thanatos Gambit: Dr. Franklin aims to peel his face off and die, getting the face of a different person due to devil worship.