: The film uses neon-soaked cinematography and elaborate sound design to mimic Alexis's condition. Reviewers from Modern Horrors highlight how the sound mixing elevates ordinary noises into something chilling, eventually turning screams into "beats" for Alexis's musical masterpiece.
: Instead of standard slasher tropes, the kills are often presented as elaborate musical experiments. One of the most memorable scenes involves a harpist whose performance becomes a gruesome sonic event .
: Alexis is a formerly deaf woman who regained her hearing during her family's brutal murder. Because her hearing is now failing again, she begins a killing spree to record specific "human instruments" to maintain her ability to hear.
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