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But of course, all is not as it seems...
The novel was adapted into a movie by [[Martin Scorsese]] in 2010, with [[Leonardo
Perhaps one of the most heavily [[Rule of Symbolism|symbolic]] novels/films in years, to the extent that [[Mind Screw|it will screw with your mind HARD]].
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* [[The Shrink]]: In Teddy's eyes, the psychiatrists are the evil version of this trope. {{spoiler|In reality, they are only trying to help him overcome his madness.}}
* [[Through the Eyes of Madness]]: {{spoiler|Teddy Daniels}}.
* [[Tomato in
* [[Tomato Surprise]]: The missing Dr. Sheehan turns out to be {{spoiler|Teddy's new partner, Chuck Aule}}.
* [[Twist Ending]]: One that would make [[M. Night Shyamalan]] proud.
* [[Unreliable Narrator]]: {{spoiler|Teddy Daniels}}.
* [[US Marshal]]
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* [[Herr Doctor]]: Played with. Dr. Naehring is undeniably German (although [[Fake Nationality|played by a legendary Swede]]), but his accent is much lighter than required by the trope.
* [[Hey, It's That Guy!]]: [[Titanic|Jack Dawson]] and [[Eternal Sunshine of the Spotless Mind|Stan]] are investigating an insane asylum run by [[Species|Xavier Finch]], where [[The Seventh Seal|Antonius Block]] works. Oh, and [[Watchmen|Rorschach]] is also an inmate.
** [[Teenage Mutant Ninja Turtles (
*** He used to be a [[The Prophecy (
*** And he shot [[House (TV series)|Dr. House]].
*** And he [[The Curious Case of Benjamin Button|made a clock that runs backwards]].
** <s> [[The Silence of the Lambs|Buffalo Bill]] </s> <s> [[Justice League|Sinestro]] </s> [[Monk|Captain Stottlemeyer sans mustache]] is also the very disturbing Warden.
* [[Homage]]: The film is absolutely crawling with them, in particular [[Alfred Hitchcock]]/Vertigo.
** The crooked angles in the lighthouse are a homage to ''[[
** Key parts of the plot and overall theme may be an homage to ''[[
* [[I Know You Are in There Somewhere Fight]]: {{spoiler|Nearly the entire film is one, on the part of Kingsley's character. He fails. Or does he?}}
* [[I Know You Know I Know]]: A somewhat meta-example; any sufficiently [[Genre Savvy]] viewer should be able to spot the obvious twist a mile away, but the way the film plays out makes one constantly question whether or not that's just what the filmmakers want you to expect.
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* {{spoiler|[[The Ending Changes Everything]]}}
* [[There Are No Therapists]]: {{spoiler|Completely, utterly inverted. The whole island is orchestrating a therapy session to play along with the main character's delusions to see if he can resolve his own internal conflicts without help. They are trying to simulate a [[There Are No Therapists]] scenario.}}
* [[Tomato in
* [[Trailers Always Spoil]]: {{spoiler|Why do we keep spoiling Daniels's insanity, guys?}}
* [[Twist Ending]]: A truly nasty one, too.
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