I give this movie a perfect 10 out of 10 stars because it is an awesome modernization of Edgar Allen Poe's The Tell-Tale Heart...but viewer, be warned...I'm a grown-ass man of 37 years who has been watching horror movies since he was 8 years old...and I almost vomited at one point during this movie! Like my review title says, it's sicker than any Friday the 13th movie I have EVER seen, and I don't know how a certain IMDb reviewer from Argentina found this movie to be "boring"...IT IS ANYTHING BUT BORING!SPOILER BELOW!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!OK...what's gross about this movie? At one point, they have Josh Lucas in a bathtub covered in ice, and they start cutting out his organs...while he's awake! Seriously, I almost vomited! Just trust me when I say it's gross! Again...10 out of 10 stars due to the great plot and ingenious re-telling of the Poe classic...but NOT for the faint of heart! I won't be watching this one again...it's just too gross!!!

After receiving a heart transplant, genuinely nice guy Lucas encounters both the very attractive female doctor who cares for his seriously ill daughter and visions of murder and mayhem he has to make sense of. Very loosely based on Poe's "The Tell-Tale Heart," which is at its core an inner monologue of a mad man that lasts only a few pages, scribe Dave Callaham expanded, embellished and embroidered the story for the modern age. In the gifted hands of helmer Michael Cuesta ("L.I.E.," "Twelve and Holding," TV's "Dexter") the so-so plot gets elevated to art-house standards with Lena Headley and Josh Lucas oozing believable chemistry, and the always exceptional Brian Cox making a lasting impression as a cop with an agenda of his own. Ends as abruptly as a punch in the guts, but it's definitely worth a glimpse

***SPOILERS*** Updated version of Edger Allen Poe's 1843 horror classic the "Tell Tale Heart" the film "Tell-Tale" takes place in modern Providence Road Island involving heart transplant recipient Terry Bernard,Josh Lucas. Since his heart transplant Terry has been having nightmares of him being brutally murdered by a gang of home invaders together with his wife.It's when Terry is getting a checkup at the Providence Hospital where his heart transplant operation was preformed that he spies on his medical records telling him that the person who's heart was donated to him was murder victim Jean P. Viellard! It just so happens that the EMS worker who was at the scene of Viellard's murder was Kevin Stanovich, Jamie Harrold, who works in the very hospital where Terry got his heart transplant! Terry becomes so obsessed in finding out about the person who's heart is keeping him alive that he gets in touch with the detective in charge of the investigation of the Viellard murder Phil Van Doren, Brian Cox, whom as it later turns out knows a lot more about the case then his report on it indicates!In the film we also have Terry's seven year old daughter and the apple of his eye Angela, Beatrice Miller, who's suffering from an incurable bone disease who in all likeliness will not survive adulthood. There's also Terry's live-in girlfriend Elizabert Clemson, Lena Headly, a doctor at the Providence hospital where he was operated on. It's the sweet loving and caring Elizabeth who's been giving Terry the very vital emotional support that he needs to get over his obsession over who's heart, that's keeping him alive, it is that's pumping inside him.***SPOILERS*** As we and Terry soon find out the circumstances that lead to his heart transplant were not quite as simple as he at first imagined! He in fact got his heart through an underground criminal organ donation racket that originated right inside the hospital where he was a patient in! It was then that the mild mannered and wimp like Terry subconsciously tracked down those who murdered his heart donor and his wife and exacted brutal justice on them!***MAJOR SPOILER*** The biggest shock off all for Terry was saved for the end of the movie: In just who was unknowingly responsible for the Vieillard murders and the very sinister and selfish, as well as monetary, reasons behind them!P.S To show you just how incredibly tense and disturbing the film "Tell-Tale" really is at it's premier showing at the Tribica Cinima in New York City on April 24, 2009 a person watching the movie almost dropped dead from from sheer fright, he was later revived by members of a local hospital EMS unit, some 15 minutes before the movie Tell-Tale ended. This had the showing,together with the films surprise ending, postponed for some 90 minutes until the man, with the help of the EMS personnel, was able to regain consciousness!

First off, this is not any kind of interpretation of Poe's story; Modern or otherwise. The only thing similar is that the main character can hear a heart beat, sometimes. Suspense is held throughout the movie! It held my full attention and I couldn't wait to see what happened next. That's all I will say about the actual plot to not spoil anything. There is graphic violence, and overall the film has a depressing mood to it. Why then did I give a 7? The acting by everyone is great..except for the English doctor's! it was horrendous! Her lines sucked and she made me feel awkward. So bad that it takes away from the rest of the movie. Overall, a good flick to check out.