Martin (John Amplas), a young man who looks around 20-years-old, boards a train in Indianapolis, Indiana for New York. At night, he breaks into a sleeping car and sedates a woman with a syringe full of narcotics. She struggles, but he tells her not to struggle or be upset because she wont feel pain. After a few minutes, the woman falls asleep, and Martin has sex with the unconscious woman. Afterwards, he slices her wrists with a razor blade so he can drink her blood. The woman bleeds to death in her sleep.
In the morning, the train stops in Pittsburgh, Pennsylvania where Martin disembarks. He is met by Tata Cuda (Lincoln Maazel) an elderly and hostile old man who claims to be his cousin from the Old World. Together, they travel by another train to the town of Braddock, a dying industrial suburb. They walk to Cuda's large house where he shows Martin his living quarters. Cuda then accuses Martin of being an 84-year-old vampire from his old country. He has taken in Martin because he is family, but tells him, "First I will save your soul. Then I shall destroy you." Martin denies being a vampire and implies that Cuda is merely his uncle rather than his cousin. Cuda then puts up strings of garlic on the doors to his and his granddaughter's room, and then holds up a small cross when Martin approaches him. Martin takes away the cross, and even takes a bite of the garlic mocking these attempts by saying bitterly, "There's no real magic... ever". Cuda tells Martin that he can come and go as he pleases. But he also warns Martin that he will kill him if he kills anyone in Braddock. He also tells Martin to stay away from his granddaughter Christine (Christine Forrest), whom arrives home from her job that evening.
Cuda introduces Christine to Martin, but also warns her to stay away from him. But Christine instead strikes up a friendship with Martin who confides in her about his vampire heritage. When Cuda later confirms Martin's claims to be a vampire, Christine, not surprisingly, refuses to believe either one. She thinks that Cuda and the other members of her family have driven Martin to insanity by making him think that he is a vampire. It is never revealed if Martin really is a vampire, or just a shy and lonely youth with troubled issues. Christine is the only person that Martin gets the courage to talk to. When Christine's boyfriend Arthur (Tom Savini) arrives at the house for dinner, Martin stops talking and backs away despite Arthur's attempt at a conversation. Christine later confides in Martin that she hopes to leave Braddock someday with Arthur, even though Martin points out that Arthur treats her badly and is both verbally and physically abusive towards her.
When Christine sees that Martin won't talk to anyone else, she buys him a phone which he installs in his room. Martin begins to repeatingly call a radio talk show where he describes what it's like to be a vampire. He becomes known on the radio as "the Count" to all the listeners. But the patronizing host (Michael Gornick) thinks he's just crazy.
Martin gets a job at Cuda's grocery store of stocking shelves, hauling boxes around, and even gets to be a delivery boy for some of the customers. One of his customers is a certain Abby Santini (Elyane Nadeau), who becomes taken in with Martin. She is a very friendly young woman who is depressed when she tells Martin that her husband is unfaithful. But Martin still does not have the nerve to talk with her, so she is happy to have someone to confide in with her life problems. Martin phones the radio show host to describe his infatuation with the housewife and senses that she wants to have sex with him. When the radio show host asks Martin if it is a sexual problem that he has involving women criticizing him during sex, Martin replies that he has never had sex with a woman who was awake.
One day, Martin travels by train to outside Braddock to look for victims. At a supermarket, he follows a young woman (Sarah Venable) home to her posh suburban house. He sees the woman's husband (Richard Rubenstein) leave for a long business trip, and Martin decides this would be the right time for more feeding. Martin returns to the house after dark and breaks in through the garage door. But it is Martin who gets the surprise when he bursts into her bedroom to find her in bed with her adulterous lover Lewis (Al Levitsky). After a vicious struggle, Martin jabs both of them with hyprodermic needles with narcotics, and waits for the drugs to take affect. He drags the unconscious body of Lewis from the house to a clump of trees across the street where he kills him by shoving a broken tree branch into his neck and drinks his blood. Martin returns to the house where he has sex with the unconscious woman. But out of compassion and pity, he decides to let her live.
Martin begins to have romantic monochrome visions of his vampire past (real or imagined), where he drained blood from a young woman and was chased through the streets of a nameless European town by a torch-lit mob.
During one Sunday at church, Cuda brings home Father Howard (George A. Romero) who asks him about the possibility of exorcism and demon possession. Father Howard calls upon the elderly Father Zulemans (Clifford Forrest, Jr.) over at Cuda's request. Together, Cuda and Zulemans confront Martin his bedroom and attempt to perform an exorcism on him. At this point, Martin remembers (another real or imaginary flashback), in the Old Country of people trying to perform an exorcism on him, and he flees them. Martin then flees from Cuda and Zuelmas as well. A little later that night, Martin terrorizes Cuda in a children's playground when he puts on a Dracula cape and puts false fangs into his mouth to pretend that he really is a vampire.
One day, Martin finally musters the courage to talk with Mrs. Santini during a routine delivery to her house where he tells her that he's aware of her attempts to seduce him and wants now to have sex with her. After having sex for the first time, Mrs. Santini becomes more depressed for she tells Martin that her husband just left her because she discovered that she cannot bear children, and that her desires towards him are based on sex and nothing else. But Martin wants to stay with her and help her move on with her life. Martin tells the radio show host about his affair with the housewife and that he no longer has the urge to attack other women.
Meanwhile, Arthur meets with Cuda and tells him that he wants Christine to leave town with him so they can get married and start a family. But Christine becomes angry at Cuda when he tells Arthur that insanity runs in their family and he shouldn't consider having children with her. Shortly afterwards, Christine packs up and leaves Braddock for New York with Arthur despite Martin telling her that Arthur is abusive towards her. But her mind is made up. Before leaving, Christine tells Martin that she really has no ill feelings towards him and just wants to make a fresh start with her life. She says goodbye to him and promises to write. But Martin knows that with an abusive and possessive man in Christine's life, she probably won't.
Depressed over losing his one true friend, Martin phones the radio show host and tells him that he's getting "shaky" and wants to go out looking for more victims. That night, Martin travels to a rough crime-ridden area of Pittsburgh and attacks two derelicts in a alley, injecting them with narcotics. He kills one of them by silting the bum's wrist and drinking his blood. Martin is about to kill the second one when a police car shows up and gives chase. Martin narrowly escapes during a long chase on foot which leads from the garbage strew streets and through a local store. Martin runs into an old warehouse where a drug deal is going down. A shootout between the two cops and the three thugs begins where all of them are killed, leaving Martin as the sole survivor who casually walks away from the carnage.
One day, Martin finds Mrs. Santini dead in her bathtub, after she had slit her writs with a razor blade. Martin anonymously calls the police to report the body and leaves. He phones the radio show host one final time to say that he really doesn't need friends or people to talk to for he is his own person. But when Cuda learns about Mrs. Santini's suicide, is mistakenly thinks Martin killed her and made it look like a suicide as he's done before. Cuda walks into Martin's room while he is asleep and kills him by hammering a wooden stake through Martin's heart.
Cuda buries Martin's body in his back garden, while over the closing credits various voices from people are heard talking to the radio show host asking the whereabouts of "the Count".
在一系列的设定下浮现出的是影片所描绘的这个未来社会的强意识形态笼罩，不仅是艺术处于这种进化监管之下，连自然规律都是被掌控的，不管是小k还是那两个公司职员其实都是类似KGB角色的变体，在Caprice呼喊出不可知不可见的黑暗中心里，隐隐有着Big Brother的影子。
属于自己的道路上遇见注定遇见的人，成为那
没有那么好，其实就是一种对60-70年代的身体艺术，行为艺术的一种超长反射弧。未来也不未来，反而是一种复辟的未来主义。蕾老师大概是取代了Eva Green，成为英语片里必脱的法国女演员，裸戏其实没啥真的必要。
酷儿解读：进步者/塑料工人和他的孩子就是拥有与传统不停的身体和欲望的人（可以认为是酷儿），而保守派就是现今意义上的保守派，资本欺骗新人类它们仍然需要旧人类的东西，不遵守就会被制裁；保守的人类因为害怕新人类的出现手刃自己的小孩，而男主一语道出：我觉得他们对那具身体反而是很着迷的。这就是未来的罪行。就是不知道为什么要让斯图尔特演这么一个stereotype的角色…..（本片最讨厌的部分）反倒是男主说“I am not very good at the old sex” 不觉得讽刺吗讲着属于未来的故事却仍然用着老套的欧洲式的image
看不懂的、名导导的、名演员演的，一律算好片。
2. 电影结尾，柯南伯格反其道而行之去宣扬“body is reality”，否认了未来世界中精神的主体性和存在的意义，反倒去强调肉体本身的价值，这是一个很新颖的观点，但个人其实不太接受这样的诠释（就这样选择去接受并宣扬现代科技下人类的异化吗？）。
年度十佳。竟从若有若无的海浪声之中、仿佛因经历核战争而斑驳不已的墙壁之间看出了一种诗意。与去年的金棕榈影片《钛》形成奇妙的互文：本片讲技术驾驭人，从未来审视现在；《钛》讲人借技术以改变社会关系，以现在畅想未来；两者都以body horror为表现形式。或许《钛》的未来就是《未来罪行》，有一天，当人类不再处于进化的中心，我也绝不会惊讶。好想在大银幕上看。
Surgery is the new sex
欣赏不来，器官恐怖还不如那些纯粹的分尸血浆，到头来难道是个环保片？
这部片对于对血腥接受无能的我来说，无论画面、剧情，还是主题都对我来说太过超前了，我只不过一个俗人，不该在生日这天看这个…
1. “surgery is the new sex”这个概念的提出令我相当佩服!
在器官上纹身，畸形的自虐被虐性癖，肉体畸变整形癖，母亲杀死自己的孩子，吃塑料的神秘组织，当众切割器官开膛破肚的行为艺术，两个喜欢用电钻钻男性脑瓜的性感女技工，一个莫名其妙负责新型犯罪的警察……所有这些清奇的元素加起来煮了一锅味同嚼蜡的东西，假高深真空洞，欺负影迷没见识？比「欲望号快车」还莫名其妙……
看不懂但大为震撼 柯南伯格脑子里装的到底是啥呢
咋说呢……就是看友邻影评人们说得头头是道，但是实际观感多处老人皱眉+弹幕式神游+男性配角脸盲。因为小k五官抽搐和卡痰说词的演技（美版刘浩存），和蕾老师额头月相的造型（法版包拯），难以沉浸于故事和氛围。
Surgery is the new sex
科幻版《钛》 （2022.7.4豆瓣6.3）
visually irresistible 关于艺术家创作的思考很好，关于技术主义的探讨仅是蜻蜓点水
我倒觉得是柯南堡作品集非常容易接受的一部了，表达也相对清晰。像是银翼杀手和Videodrome 杂糅在一起的反乌托邦作品，维果的造型都很像老银翼里的银发Roy。感叹一句蕾老师的肉体可真是天赐的鬼斧神工，以及斯图尔特就真只演了个小角色，期待中的对手戏也并不多，大概也是柯南堡迷妹吧…… 还算好看，但不如Crash
很怪异但是还是不够怪异。
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