While there have been plenty of great horror movies that have come out of the United States, there are also many examples of other countries delivering films that put American ones to shame. Whether it’s the freedom of working outside the U.S. studio system, different sensibilities, or something else, international horror movies often hit way harder than domestic ones.

The latest example is the Australian film Bring Her Back, directed by Danny and Michael Philippou, the same filmmakers behind the 2023 sensation Talk to Me. The fantastically unnerving story centers on Andy (Billy Barratt) and his sister, Piper (Sora Wong), who’s legally blind. The two are put into foster care after the death of their father, finding a home with Laura (Sally Hawkins), a former social worker. Laura is enthusiastic about having Piper, who reminds her of her blind daughter who passed away, but Andy feels a coolness toward him right away.

Also living with Laura is Oliver (Jonah Wren Phillips), whom Laura says has been mute since her daughter’s death. But Oliver’s actions are much weirder than him not being able to talk, and Laura alternates between being dismissive of him and overly attentive. Things start to go off the rails when Andy witnesses a horrific event, and he and Piper - along with the audience - are unprepared for how awful things will get.

The film, written by Danny Philippou and Bill Hinzman, ranks extremely high on the list of most disturbing films you’re likely to see. It’s not just the blood and gore that can be found in many other horror movies; it’s the manner in which the carnage comes about that may haunt the dreams of viewers. The things that the filmmakers choose to show are so shocking that it’s fair to wonder what kind of a mind comes up with such atrocities.

But the Philippous have more on their mind than trying to traumatize viewers visually. It’s a movie about grief and a broken foster care system mixed with a tinge of the supernatural. While it’s not entirely clear what’s going on with Laura and Oliver, it involves something spooky that has affected both of them in inexplicable ways. The film combines the horrors of real life and the incomprehensible for a highly effective story.

The film also veers far away from your typical horror film arc. While Laura is the “villain” of the film, she’s also a victim in a certain way, and the filmmakers have empathy for the trauma that she has endured. They don’t excuse her actions, but the reasons behind them are explained, and so the journey that Andy and Piper go on becomes more meaningful than if it involved a monster with no back story.

Hawkins, who’s been nominated for two Oscars, elevates the film with her high-level acting. No matter what kind of weird thing Laura does, it feels grounded because Hawkins is bringing it to life. Barratt and Wong play their roles well, but it’s Phillips who’s the real revelation. Without speaking a word, he turns in a supremely creepy performance, one that’s especially amazing for the physical things he’s asked to do.

Even horror film aficionados may not be able to anticipate the level of depravity on display in Bring Her Back. Unlike other movies in the genre, it’s not out for cheap thrills. The Philippous give it heart and soul, along with some of the most messed-up scenes you’ll see this year.

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Bring Her Back is now playing theaters.