This story of conjoined twins owes a lot to another set of brothers--the Coens. The film's eerie mood and methodical pace are straight out of the Barton Fink playbook. But it all works, pretty much. Joined at the hip both literally and figuratively, Blake and Francis Falls (real life twins Mark and Michael Polish) are in every way inseparable.
So when Francis' organs begin to sputter, Blake resolves to stay with him until the end. And that's saying something when you consider that he's just fallen in love with screen newcomer Hicks, who plays a prostitute able to see beyond the twin's freakishness to their good humor and individuality. You will, too. By not trying to do too much, the movie succeeds splendidly.