At the very first screening of this film at the 2005 Toronto Film Festival, two ambulances were called due to people having such extreme reactions to the film. One man left the theater during Josh's torture, then fainted and tumbled down the escalator, while a woman, believing she was having a heart attack, during Paxton's torture scene, she's for that the paramedics be called. Both patrons were okay, but local media thought it was a publicity stunt by director Eli Roth. However, Roth claims to have known nothing of the incidences, as he was in the theater watching the film, only finding out after when told by festival staff of the chaos that transpired.

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