Still not very good. Having seen all of the trilogy I must say this is the best. It doesn't get any better or any more interesting so if you aren't going to watch these as a trilogy pick this one. Having to wade through piles of vomit isn't exactly fun but having to wade through piles of vomit to discern basic plot points is downright sadistic. I don't think any director is as pointedly cruel to his audience as Mr. Valentine is. Now, I'm okay with gross-out films (otherwise I wouldn't have given this a glance) and I'm okay with gross out art films (Aftermath comes to mind) but when they are good they are very very good and well this is just horrid. The stars awarded are mostly out of pity for the actors because really kudos for having the guts (no pun intended) to make this and the rest is for having the sheer audacity nay, bravery to spend years of life on making three films that are almost completely devoid of redeeming qualities save for an extremely niche audience. Not many directors would have the chutzpah to do this.