The Substance

"Have you ever dreamt of a better version of yourself?"

Director: Coralie Fargeat Year: 2024 Runtime: 141 min IMDb: ⭐ 7.1
Movie Poster

Synopsis

A fading celebrity decides to use a black market drug, a cell-replicating substance that temporarily creates a younger, better version of herself.

On her 50th birthday, faded Hollywood film star Elisabeth Sparkle is dismissed from her long-running aerobics TV show by its producer, Harvey, due to her age. Elisabeth crashes her car while distracted by a billboard of herself being taken down. At the hospital, a young male nurse gives her a flash drive advertising "The Substance", a black market drug that promises a "younger, more beautiful, more perfect" version of oneself. Elisabeth orders The Substance and injects the single-use serum. She convulses as a younger woman named Sue emerges from a slit in her back. The two bodies must switch consciousness every seven days without exception, with the inactive body remaining unconscious and fed intravenously. Daily injections of stabilizer fluid, extracted from the original body, are required to prevent Sue from deteriorating. Sue becomes an overnight sensation after auditioning as Elisabeth's replacement, and Harvey offers her the chance to host the New Year's Eve show. While Sue lives a confident and hedonistic life, Elisabeth becomes a self-hating recluse. Near the end of one weekly cycle, Sue brings a man home for casual sex; she delays the switch by extracting additional stabilizer fluid, causing Elisabeth's right index finger to rapidly age. Elisabeth contacts the supplier, who warns that delaying the switching schedule will lead to irreversible, rapid aging of the original body. Elisabeth and Sue gradually become separate personalities and begin to hate each other; Elisabeth resents Sue's frequent disregard of the switching schedule, causing further aging, while Sue is appalled by Elisabeth's descent into unhealthy binge-eating. Following a particularly destructive episode as Elisabeth, Sue stockpiles stabilizer fluid and refuses to switch back. Three months later, on the day before the New Year's Eve show, Sue runs out of stabilizer fluid and contacts the supplier, who informs her she must switch back to replenish the fluid. When they switch, Elisabeth finds herself transformed into a deformed, hag-like hunchback. To stop Sue aging her further, Elisabeth orders a serum designed to terminate her. However, Elisabeth, still craving Sue's celebrity status, stops before fully injecting the serum and resuscitates Sue, leaving both of them conscious. Realizing Elisabeth's initial intent, Sue beats Elisabeth to death before leaving to host the New Year's Eve show. Without Elisabeth, Sue's body rapidly deteriorates. She attempts to create a new version of herself using the leftover serum, despite the single-use warning. This results in the creation of a grotesque mutated body, "Monstro Elisasue", with both Elisabeth and Sue's faces. Wearing a mask cut from a poster of Elisabeth, Monstro Elisasue attempts to host the show, but the audience erupts into chaos. An audience member decapitates her, only for an even more mutated head to grow back, and one of her arms to break and drench the audience and studio in blood. Fleeing the studio, Monstro Elisasue collapses and explodes into viscera. Elisabeth's original face detaches from the gore, crawling onto her neglected star on the Hollywood Walk of Fame. She smiles as she hallucinates being admired before melting into a puddle of blood, which is cleaned up by a sidewalk scrubber the next day.

Summary adapted from TMDb and Wikipedia sources.

🎄 Holiday Cheer Breakdown

Content Warnings

⭐ IMDb Parents Guide 🛡️ Common Sense Media

a dog dies
spoiler There are no pets in the movie, and no animals at all except a fly
someone is sexually assaulted
Yes
an animal dies
spoiler I love this group cause the fly is something I’d want to know about and not most people would care about that. Thank you!
animals were harmed in the making
spoiler The fly was CGI.
there's a dead animal
spoiler Crayfish can be seen close up in great detail being consumed, as well as a fly drowning in a glass of wine.
an animal is sad
Yes
a dragon dies
Yes
a cat dies
Yes
animals are abused
spoiler zjnnnq
there are bugs
spoiler There are a couple shots of a fly, once on someone's neck and once in a drink.
there's dog fighting
Yes
a pet dies
Yes
an animal is abandoned
Yes
a child is abandoned by a parent or guardian
Yes
someone leaves without saying goodbye
spoiler I would consider leaving your former self in a cold dark room for a week a bit like abandonment
there's child abuse
spoiler Child in distress during final act at New Year’s Eve show
a woman is brutalized for spectacle
spoiler Horrible things happen to a woman as this is the point of the movie. But I'd say this is a feminist movie, she isn't brutalized to appeal to audiences
there's domestic violence
spoiler Not in the classic sense of partner or parental violence, but there is a lot of extreme physical violence in the home.
there's abusive parents
spoiler No parental figure present in the story
the abused forgives their abuser
Yes
someone gets gaslighted
spoiler People lie and are abusive but there aren't any plain depictions of gaslighting.
someone is abused with a belt
Yes
the abused becomes the abuser
spoiler Technically speaking yes
someone is stalked
spoiler A side character follows the main character from the location where she gets the subtance to a nearby diner. She’s shown being very stressed about this and constantly looking behind herself as she runs.
there's addiction
spoiler Arguable. The main character behaves like an addict towards "The Substance" which is an allegory for plastic surgery and other youth-sustaining products. There are lines about 'wanting to stop' and being unable to stop.
alcohol abuse
spoiler Sue goes out drinking and brings home a man. The next day it is shown that they had a lot of alcohol.
someone uses drugs
spoiler lingering shots of injection paraphernalia, as well as intermittent and close-up scenes of injection throughout the movie. CW DETAILS: includes healthy vein & subcutaneous injection, tournquet use, slow needle insertion, spinal injection, and injection into an infected site.
someone is sexually assaulted onscreen
Yes
there's pedophilia
spoiler Not as such, but there is a lot of sexualization of younger women (of legal age) by men far older than them
someone is drugged
spoiler no portrayel of malicious, unconsenting dosing, but one character must set up injection for the unconscious other throughout the movie.
a woman gets slapped
spoiler Not slapped? But extensively brutalised. This film is very violent against a woman's body.
someone is beaten up by a bully
spoiler Physical fighting, no beatings from a bully.
someone's mouth is covered
spoiler not a super specific portrayel, but within the realm of body horror, we get an open mouthed face slowly covered by fabric in the third act, as well as the character in the third act who struggles to speak (no covering of her mouth)
someone is held under water
Yes
someone is restrained
spoiler I don’t know if this counts but one character is locked in a room against her will
there's eye mutilation
spoiler There's kind of 'everything mutilation' in this movie but in particular there are some shots of eyes duplicating themselves and bulging
there's excessive gore
spoiler Tons of 80s style prosthetics, comically large amounts of blood, surgical stuff, wounds, etc. Extremely gory film.
there's torture
spoiler One person is knowingly causing harm and permanent damage to another person for their own benefit, resulting in deformities and the worsening of a rather grotesque injury. This happens while the abused is unconscious. The abused is always horrified to find this happens and starts to feel more and more trapped, hurt and can no longer live a normal life without fear of the abuser.
there's genital trauma/mutilation
spoiler in the second act, there is a quick nightmare scene where the main character squats and experiences a bulging/herniation in her buttocks; in the third act, the main character emerges with full-body deformity that includes breast placement. later, a breast is produced through a orifice on the deformed body and falls to the ground.
there's body horror
spoiler Extensive, think 80s horror like The Fly or The Thing
there's finger/toe mutilation
spoiler Fingernails peeling off in a grotesque way towards the end of the film
teeth are damaged
spoiler yeah she pulls out 3 of her teeth very realistic too
someone's throat is mutilated
Yes
there's cannibalism
spoiler No, but fluids are taken out of one person and injected into another for sustenance
there's shaving/cutting
spoiler No, but there is a huge cut - like wound in the main characters back. It is also graphically shown when it is being sewn back up
someone is buried alive
spoiler No, but someone is sealed in a dark room while unconscious
there's amputation
spoiler in the third act: the flesh of an ear falls off, a hand is amputated and showers blood, and a head is lopped/knocked off. all three of these scenes happen extremely fast and are positioned with an air of absurdity/campiness.
someone struggles to breathe
spoiler There is gasping for air at several parts, but not necessarily suffocating
someone asphyxiates
spoiler No but more than once a character has an extremely difficult time breathing which could be super triggering to some people
somebody is choked
spoiler A character chokes another in a violent fight inside the home
hands are damaged
spoiler At the end, a fingernail peels off, resulting in loss of the whole finger.
someone is stabbed
spoiler No knives, but there are many repeated scenes of needle injection
someone dislocates something
spoiler while not explicit dislocation, bone crunching foley heard throughout some transformation scenes, as well as a scene where an old, arthritic knee is forced out of locking in order for the character to stand up.
someone has a seizure
spoiler there are seizure- like moments but not traditional seizures
someone falls down stairs
Yes
someone falls to their death
spoiler The creature at the end falls and explodes, in a sense dying, but not a traditional “fall to death” scenario
Someone becomes unconscious
spoiler Each time the drug is used or a 'switch' happens the character collapses dramatically. There is also one scene in the final third where a character is beaten unconscious.
someone breaks a bone
spoiler There's one long moment where an arthritic knee is forced to move, with bone breaking sounds. Later a finger snaps off.
there's decapitation
spoiler an attempted decapitation causes the explosion mentioned
heads get squashed
spoiler Not exactly squashed but repeatedly (to a comical degree) bashed against the wall with full visual of the gore
there's Achilles Tendon injury
Yes
someone is crushed to death
Yes
a minor is sexualized
spoiler Old men sexualize young, barely legal women
a kid dies
spoiler A child is not physically harmed, but they are shown experiencing a probably very traumatising event and getting covered in blood.
there's bedbugs
Yes
a non-human character dies
Yes
a major character dies
spoiler upvote this instead of the huge spoiler. come on dude
someone dies
spoiler Technically the same person dies 3 times
someone sacrifices themselves
Yes
someone disabled played by able-bodied
spoiler there is some rapid aging related mobility loss in elizabeth's body, in particular one of her legs and an arthritic knee. however, most of the rapid aging is visual only, rather than mobility related.
someone overdoses
spoiler Voting yes because it could be triggering to people with drug or cosmetic procedure addiction. Needles are used in an irresponsible way
a parent dies
Yes
A child's dear toy is destroyed
spoiler A snow globe is thrown and shattered, but it's not framed as expressly a child's toy
there are jump scares
spoiler *CONTAIN MINOR SPOILERS* There's 4 total jumpscares, 2 of them are minor, 1 intermediate e 1 a major, from my point of view: The first is the intermediate one, that happens when her car is involved in an accident The second one is the major, ir happens when they make the first transition, a dark road appears and a motorcycle starts to accelerate, then it happens The thirt one is a sound jump scare, she is gonna take off a post it on from a glass wall, and the sound suddenly pops out The fourth one is at the final part of the movie, it happens when she goes to her apartment at the new year's eve presentation. She does something at her restroom and the jumpscare happens when she is about to look at the mirror.
there are razors
Yes
there are clowns
Yes
there are shower scenes
spoiler There are many times in the film where the characters are shown nude in the shower, usually in various states of distress.
there are mannequins
spoiler In the scene where Sue is first out in the world, she spots a unitard on mannequin.
trypophobic content is shown
spoiler There are two brief scenes where a persons iris multiplies on their eyeball, that could be triggering.
someone vomits
spoiler 15:46 - 15:57 elisabeth v* after drinking martinis at the bar 31:04 - 31:10 sue v* after seeing elisabeth on the floor 1:23:15 sue gags 1:27:24 little gag from elisabeth 1:33:13 sue gags 1:39:03 - 1:39:10 elisabeth coughs and spits 1:51:57 - 1:52:21 sue coughs 1:59:30 - 1:59:50 elisasue v* after transformation 2:06:37 - 2:07:11 elisasue gags while something comes out of her eye
There's audio gore
spoiler Tons, constantly. This is a very misphonic movie.
there's farting
spoiler no but there is a joke towards the beginning with the word farts
there's spitting
spoiler There's one shot towards the end where someone spits directly at the camera, it's quite gross. There is a lot lot lot of mouth misophonia stuff, open mouth chewing, too.
someone wets/soils themselves
spoiler There is a scene towards the start of the movie where a character is shown urinating in a restroom. They don't wet themselves, but there is audio
someone defecates
spoiler No, but there is a shot of a man at a urinal — closeup of his face
there's deadnaming or birthnaming
spoiler There’s one scene though where a character doesn’t like another character’s name and comes up with a new name for them
a priceless artifact is destroyed
spoiler No but several expensive items are damaged
there's a hospital scene
spoiler The main character is briefly in hospital after a car crash.
there's menstruation
spoiler no, but when a man sees blood on the floor he asks a female character if she's cranky because she's on her period
needles/syringes are used
spoiler Many times in the film, in grotesque ways. You can generally see it coming, basically anytime she's in the bathroom with her body double. The worst bit is towards the end she's putting a large needle repeatedly into an infected wound.
Someone attempts suicide
spoiler The character expresses no longer willing to live in a certain version of herself, willing to endure extensive suffering to no longer live in her life anymore, ultimately tries to kill a version of herself. Not a traditional suicide attempt by any means, but could be interpreted as suicidal ideation in certain ways.
someone self harms
spoiler Yes, the main character harms herself several times throughout the movie, through smacking herself in the head/face, pulling her hair, rending at her face, berating herself in a classic dysregulation/punishment cycle, sometimes banging her head against the wall.
there's misophonia
spoiler It’s pretty unbearable throughout the entire movie
someone has an eating disorder
spoiler Absolutely, I’d say it’s a major theme. Extreme binging & body dysmorphia for sure.
a mentally ill person is violent
spoiler Arguable. If you characterise the main character as mentally ill... there is a lot of violence in this movie.
someone says "I'll kill myself"
Yes
reality is unstable or unhinged
spoiler There are hallucinations sometimes, it is never clear how real they are.
there's a claustrophobic scene
spoiler A character is locked in a walled off room, and a character is essentially locked-in or dissociates for periods of time
D.I.D. Misrepresentation
spoiler DID is not part of the story but this story does have DID features, with splits between body and self.
there's dissociation, depersonalization, or derealization
spoiler Elisabeth suffers alot of DP and DR. She loses her sense of self to Sue, and loses contact with reality after Sue is made. Also Sue starts to harm her and completely disconnect or dissociate from E. Might be a metaphor for DID or UID
someone has an anxiety attack
spoiler Not exactly. But the way they film the character's experience when she is due to 'switch' may be reminiscent of an anxiety attack.
there's body dysphoria
spoiler No. There is body dysmorphia, not dysphoria.
someone has a mental illness
spoiler Not explicitly stated, but a character experiences stmproms of body dysmorphia and depression.
someone has a meltdown
spoiler Depending on the definition of a 'meltdown', the main character experiences scenes of dysregulation and responds with self harm, as well as a scene of overwhelm where she snaps as a colleague.
someone dies by suicide
spoiler Technically yes? But in more of a metaphorical sense.
there's body dysmorphia
spoiler The main character is so dissatisfied with her body that she goes to extremes to become young again, with catastrophic consequences.
there's flashing lights or images
spoiler there are 2 scenes where they use the activactor, they're pretty long (about 20 sec each) it triggered my migraines
shaky cam is used
spoiler A lot
there are sudden loud noises
spoiler A ton of loud and nasty noises throughout the movie
a baby cries
spoiler A child cries a lot at the end of the movie
there is obscene language/gestures
Yes
there's screaming
spoiler Lots, during severe fighting scenes
someone is watched without knowing
spoiler Not explicitly, but there’s implications it could be happening, depending on how you interpret certain scenes
the fourth wall is broken
spoiler Not explicitly, although there are a lot of staring-directly-into-mirror-reflection scenes that might trigger someone sensitive to it
a baby is stillborn
Yes
there is a baby or unborn child
Yes
there's childbirth
spoiler There are scenes reminiscent of birthing as the new self emerges from her former body, pulls things out of her body, and the monster at the end “births” a breast, in a sense.
there are homophobic slurs
Yes
there's fat jokes
spoiler Not jokes but derogatory comments about fatness and body image
there's ableist language or behavior
spoiler No, but I do think some might be troubled by this film's treatment of disfigurement. There is a 'monster' in the film. The message is not at all about disability but could be read that way.
someone speaks hate speech
spoiler Misogynistic and ageist comments are made but presented negatively.
there's antisemitism
spoiler This comment is more anti-semetic than anything in the movie
the black guy dies first
Yes
there's a large age gap
spoiler Arguable. The main character is 50 but gets to live in a younger body so has relationships with younger men. However, the men in the film are generally portrayed as predatory so it doesn't have the 'vibes' of an age gap relationship.
there's bestiality
Yes
there is sexual content
spoiler No explicit sex but lots of nudity, sexualised imagery, and one scene of drunk people about to have sex (thwarted)
there are nude scenes
spoiler Lots of nudity in this film, not generally sexual though
someone is sexually objectified
spoiler The young version of the character is filmed in a highly sexualised way, to a comical degree
someone loses their virginity
spoiler Sue has sex for the first time, its not talked about however. One might Even Wonder if she is a virgin since she is Elisabeth which is not
someone is terminally ill
Yes
someone has a stroke
Yes
someone has a chronic illness
spoiler No typical chronic illness depicted, but use of the substance is repeatedly shown as necessary throughout, so characters experience illness (ie. vertigo, pain, nose/ear bleeds) only alleviated by injection.
there's fat suits
spoiler Not a fat suit, but a large deformed body prosthetic is used at the end of the film.
existentialism is debated
spoiler Sort of? A character is constantly reminded that they and another character are the same person, and the whole movie could be seen as aging, trying to prevent it, and trying to survive within the male gaze
the ending is sad
spoiler Arguable. It's certainly not a happy movie but maybe you could think she found peace.
a car crashes
spoiler There is a dramatic rolling car crash towards the beginning of the film. It's shot from inside the car. The character is shown uninjured afterwards.
a person is hit by a car
spoiler A character is driving in their car and gets hit by another car in a big jumpscare moment.
a car honks or tires screech
spoiler There is a dramatic rolling car crash towards the beginning of the film.
there's blood/gore
spoiler Tons, constantly.
there's gun violence
spoiler At the end, there are calls for someone to shoot at a monster, but it doesn't really happen.

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