Six has now made a film deliberately intended to inspire incredulity, nausea and hopefully outrage. He also wants to do it because he is in a movie by Tom Six, a Dutch director whose previous two films average 4 out of 10 on the scale, which is a score so low very few directors attain it. Why does he want to commit this atrocity? He is insane, as I've already explained. You don't want to be part of the Human Centipede at all, but you most certainly don't want to be in the middle. They will move on their hands and knees like an insect. Heiter plans to surgically join his victims by sewing together their mouths and anuses, all in a row, so the food goes in at the front and comes out at the rear.
What's coming next isn't so much a review as a public service announcement. He will demonstrate his skills as a surgeon by - hey, listen, now you'd really better stop reading. He provides them with a little slide show to brief them on his plans. When they regain consciousness, they find themselves tied to hospital beds. He drugs his victims and dumps them into his Mercedes. He is filled with hatred and vile perversion. His skin has a sickly pallor, his hair is dyed black, his speech reminds us of a standard Nazi, and he gnashes his teeth.
He was once a respected surgeon, but has now retreated to his luxurious home in the German forest, which contains an operating room in the basement.