10 Most Twisted Asylum Horror Movies

Because we all go a little mad sometimes.

The Ward Amber Heard
ARC Entertainment/XLrator Media

More than any other film genre, the world of horror is one brimming with plentiful familiar tropes.

In amongst the final girls, the killers who aren't really dead, the long-lost psycho relatives and many other clichés showcased brilliantly by Wes Craven and his Scream franchise, one other particular horror trope is that many a filmmaker loves nothing more than using a mental asylum as the setting for their respective pictures.

Over the decades, audiences have seen numerous great (and not so great) horror films based in and around an asylum, a psychiatric ward or a mental health facility, and it's often been a case of the more abandoned and derelict this building is, the better.

Some such movies have become all-time classics, others have inspired generations to come, and others have embraced the insanity and amped everything up to 11. With this list, it's all about spotlighting the more demented and disturbed offerings of this particular subgenre, with the attention on those efforts that left you questioning what you've just seen.

Here, then, are ten of the more terrifying and twisted asylum-set horror movies out there.

10. Grave Encounters

The Ward Amber Heard
Tribeca Film

Realistically, Grave Encounters and Grave Encounters 2 could both be included here in this list, but this time it's the Vicious Brothers' first GE picture taking the spotlight.

An abandoned asylum-set found footage offering, 2011's Grave Encounters centred on paranormal TV presenter Lance Preston and his crew as they explore the eerie Collingwood Psychiatric Hospital for an upcoming episode of their Grave Encounters show.

Of course, a night spent in this spooky location brings way more terror and supernatural shenanigans than Preston and Co. could've hoped for, and the group's endless walking down dead-end corridors eventually results in them becoming patients of Collingwood themselves.

For those who got off lightly, they become unhinged, unstable and deranged, but a particularly gnarly fate is waiting for Lance Preston, with him attacked by demonic nurses and lobotomised. By the time of Grave Encounters 2 a year later, a bunch of fans of the GE TV show decide to venture into Collingwood, where they find a nuts, murderous Lance stalking the asylum's halls.

Considering the found footage subgenre was on its arse by 2011, Grave Encounters - and, to a lesser extent, its sequel - showed that it was still possible to put together a genuinely good found footage offering.

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Once described as the Swiss Army Knife of WhatCulture, Andrew can usually be found writing, editing, or presenting on a wide range of topics. As a lifelong wrestling fan, horror obsessive, and comic book nerd, he's been covering those topics professionally as far back as 2010. In addition to his current WhatCulture role of Senior Content Producer, Andrew previously spent nearly a decade as Online Editor and Lead Writer for the world's longest-running genre publication, Starburst Magazine, and his work has also been featured on BBC, TechRadar, Tom's Guide, WhatToWatch, Sportkskeeda, and various other outlets, in addition to being a Rotten Tomatoes-approved film critic. Between his main day job, his role as the lead panel host of Wales Comic Con, and his gig as a pre-match host for Wrexham AFC games, Andrew has also carried out a hugely varied amount of interviews, from the likes of Robert Englund, Kane Hodder, Adrienne Barbeau, Rob Zombie, Katharine Isabelle, Leigh Whannell, Bruce Campbell, and Tony Todd, to Kevin Smith, Ron Perlman, Elijah Wood, Giancarlo Esposito, Simon Pegg, Charlie Cox, the Russo Brothers, and Brian Blessed, to Kevin Conroy, Paul Dini, Tara Strong, Will Friedle, Burt Ward, Andrea Romano, Frank Miller, and Rob Liefeld, to Bret Hart, Sting, Mick Foley, Ricky Starks, Jamie Hayer, Britt Baker, Eric Bischoff, and William Regal, to Mickey Thomas, Joey Jones, Phil Parkinson, Brian Flynn, Denis Smith, Gary Bennett, Karl Connolly, and Bryan Robson - and that's just the tip of an ever-expanding iceberg. Where his beloved Wrexham AFC is concerned, Andrew is co-host of the Fearless in Devotion podcast, which won the Club Podcast of the Year gong at the 2024 FSA Awards.