As a society we have a big focus on beauty and creating the look of perfection. But, perhaps, there is no place where that focus looms larger than in the entertainment industry. The latest thriller, The Substance, puts that squarely in focus with a body-horror tale that spins in wild and wildly creative ways.

The film centers on Elisabeth Sparkle (Demi Moore). She’s a star—with recognition on the Walk of Fame and a long career of hit shows and films. As we pick up on her birthday—a prime number—she’s facing a cliff. She overhears the head of the network (Dennis Quaid) planning to retire her and gets the news in person at an awkward birthday lunch.

Elisabeth has reached a certain age and she’s no longer of use. After an accident lands her in the hospital, she’s presented with an option to change her fate—The Substance. Watching the video, she decides it isn’t for her and tosses the drive in the trash. But, after seeing an ad soliciting her replacement, she dives back in.

The box presents a simple premise. She takes the activator, and a younger, more perfect self emerges—for seven days at a time. Elisabeth weighs the options, takes a long look in the mirror and plunges the syringe into her leg. Moments later, the change begins. Out pops Sue (Margaret Qualley). Sue is young and beautiful, and quickly finds more opportunity in the shallow and vapid culture.

But as Sue’s following and power grows, the tenuous battle that connects her to Elisabeth becomes a war for control. And things get ugly quickly.

The film comes from writer/director Coralie Fargeat (Revenge). It has a unique look and style, including some extreme camera shots and editing that will either draw you into the production or serve as a turn off. I was taken with the craft, especially early. The edits and some of the extreme shots help set a tone and mood.

The film is also blessed with great performances. Moore, in particular, goes through quite a journey. The depth of emotion and struggle she conveys with her expressions that helps drive the story. It’s a mesmerizing performance at times. Qualley is also quite good, and the two play off each other well.

I was fascinated by the premise, the performances, and really drawn into the first part of the film. But in the third act, Fargeat turns things up a notch. The final 20 minutes, in particular, are a wild blood bath that will not be for everyone. I didn’t enjoy the final act as much as what preceded it. I still thought the film was well done and engaging, but the ending was something of a letdown for me.

Still, if you’re looking for a creative, often unsettling new horror/thriller, The Substance hits the spot. It’s now playing nationwide.

Matthew Fox is a graduate of the Radio, Television and Film program at Biola University, and a giant nerd. He spends his free time watching movies, TV, and obsessing about football. He is a member of the FSWA. You can find him @knighthawk7734 on Twitter and as co-host of the Fantasy Football Roundtable Podcast.