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Twisted Twins Jen and Sylvia Soska are back with their stunning follow-up to the indie hit Dead Hooker in a Trunk. AMERICAN MARY is the story of a medical student named Mary who is growing increasingly broke and disenchanted with medical school and the established doctors she once idolized. The allure of easy money sends a desperate Mary through the messy world of underground surgeries which leaves more marks on her than the so-called freakish clientele. Appearances are everything.