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The Human Centipede (First Sequence) is a 2010 Dutch horror film written and directed by Tom Six. The film tells the story of a German doctor who kidnaps three tourists and joins them surgically, mouth to anus, forming a "human centipede." It stars Dieter Laser as the villain, Dr. Heiter, with Ashley C. Williams, Ashlynn Yennie, and Akihiro Kitamura as his victims. According to Six, the concept of the film arose from a joke he made with friends about punishing a child ******** by stitching his mouth to the anus of a "fat truck driver." Six also stated that inspiration for the film came from Nazi medical experiments carried out during World War II, such as the crimes of Josef Mengele at the Auschwitz concentration camp. When approaching investors prior to filming, Six did not mention the mouth-to-anus aspect of the plot, fearing it would put off potential backers. The financiers of The Human Centipede did not discover the full nature of the film until it was complete. The film received mixed reviews from mainstream film critics, but it won several accolades at international film festivals. The film was released in the United States on a limited release theatrically on April 30 2010. A sequel, The Human Centipede 2 (Full Sequence), also written and directed by Six, was released in 2011.