American Guinea Pig 4: Sacrifice (2017)

AKA: –
Year: 2017
Directed by: Poison Rouge
Starring: Roberto Scorza (Daniel), Flora Giannattasio (Woman/Ishtar)
Country: Italy
Language: English
Runtime: 01:03:22
Genres: Gore-Gruesome, Self-Harm, Transsexual

Plot – Spoilers:
American Guinea Pig 4: Sacrifice was an independently-made movie in Italy that was later included in the American Guinea Pig series.

A young man Daniel appears to be suffering from some kind of childhood trauma, or he’s completely cuckoo – either way, he believes there are portals to the darkness around him that can be accessed through extreme self-mutilation. He locks himself up in his home and proceeds to perform a bunch of acts to summon Goddess Ishtar to help him cross over to the other side.

The film moves along tediously initially – it takes Daniel about 15 minutes to light some goddamn candles and start the action, but once it gets going, there are some brutal scenes involving toe nails and his cock.

By the end of the film it appears that all of it was an extreme expression of Daniel’s need to transition into a woman which he legitimized to his repressed self through the use of mythical literature and figures.