Director Robert Wiene and star Conrad Veidt reteam for this Austrian horror suspense drama. Veidt plays Paul Orlac, a famous concert pianist who gets severely injured in a train crash. Dr. Serral (Hans Homma) tries an experimental technique wherein he grafts the hands of a dead man onto Orlac's arms, and the surgery is a success, but afterward, when Orlac learns that the hands belonged to an executed murderer, he starts to lose his mind, believing that the hands are commanding him to kill again. Also featuring Alexandra Sorina, Fritz Strassny, Paul Askonas, Carmen Cartellieri, and Fritz Kortner.

Wiene continues to use Expressionistic techniques and visual schemes, but they are toned down, and used to accentuate the narrative rather than overwhelming the proceedings. The film marks an important step in the transition from purely arthouse Expressionism to the techniques used in the visual language of film noir. Veidt gives an intense, tortured performance, although Kortner pales in comparison to the later remake Mad Love and Peter Lorre's take on the character. Most sources list this as being roughly 90 minutes, but the version I watched was 113 minutes. I felt that could have been trimmed down a bit, as some scenes dragged. That being said, I enjoyed the film quite a bit, and the cinematography was beautiful.