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Directed by Kim Manners
Mulder: Were any of you here at the time?
Dr. Franklyn: A few of us, yes, but .. more importantly ... thereís a nurse, Rebecca Waite. She was on the ward during those incidents.
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 and getting rewarded with a new face, which is how he escapes.
- 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. Clifford Cox/Dr. Jack Franklin/Dr. Hartman is this trope played straight.
- Good All Along: 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.
- I Just Want to Be Beautiful: Lampshaded by Mulder as the motivation behind the killer, and most of the patients at the hospital.
- Lame Pun Reaction: After Mulder draws lines connecting five burn marks on the floor to reveal that they form a pentagram, we get the following exchange:Mulder: ...in the shape of a pentagram.
Scully: Mulder, if you want to connect the dots here, you should look at the facts.
Mulder rolls his eyes.
- Medical Horror: Features death by liposuction, death by plastic surgery laser, and death by acid infusion.
- Red Herring: We'd led to believe that Nurse Waite is the murderer, when in fact it's Dr. Franklin.
- Take That!: All the doctors in on the satanic conspiracy are plastic surgeons and assholes, and the lucrative nature of plastic surgery for the medical industry is mocked by Mulder and Scully.
- 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.