sixth episode fourth season american science fiction television series files written newcomers directed kim_manners monster week story stand plot unconnected series wider mythology aired united_states november fox network earning nielsen rating seen million viewers initial broadcast centers fbi special agents fox_mulder david_duchovny dana_scully gillian_anderson work cases linked paranormal called files bizarre murders hospital plastic surgery unit lead mulder scully suspect supernatural force responsible killings continue mulder discovers link victims dates birth key dates calendar episode started script written fans series features references real life sources received mixed reviews critics negative criticism given number inconsistencies plot episode use gore drew mixed reaction critics felt gore helped felt relied heavily cover weaknesses storyline plot routine operation chicago suddenly begins violently remove large amounts fat patient patient dies following unusual experience fox_mulder david_duchovny killed patient possessed dana_scully gillian_anderson skeptical lloyd claims believing making escape legal consequences mulder operation room discovers burned floor cause reviewing tapes operation mulder decides check type medication lloyd taking staff lloyd clinic shocked plastic surgeon murders patient unusual circumstances scully interviews claims able remember happened scully lloyd taking medicine mulder belief cause unexplained phenomena reviews tape second murder observing like pattern stomach victim worried events staff tells mulder scully similar series deaths occurred hospital years prior suspect jones nurse person present death scenes agents visit house discovering evidence practiced evidence planted staff member hospital non fatally assaulted house attempts question prevented starts dies shortly mulder victims match dates meaning continued murders occur clinic patient murdered face melted acid suspects left turn mulder uses hospital computer program determine franklin look like heavy plastic surgery shocked find franklin actually doctor presumably died murders cox attempts murder fifth final victim quest gain eternal youth removes skin face ritual appear younger cox caught episode ending successfully applying medical hospital production 1990s scripts widely television writers write favorite shows x-files large staff writers occasionally fill large ordered episodes season staff risk written freelance writer case written sisters experience writing hour network program later responsible episodes television series sisters asked staff writers suggestions morgan stated things repeat day number know concluded qualified scary thing unknown person connect owner went class normally uses doctors concluded doctors losing control good plot writing script presented morgan suggested change villain woman man plastic surgery related woman man script written sisters chosen episode stands siblings work x-files script picked series creator chris_carter staff reworked ideas carter focused plot themes greed executive producer created graphic moments phrase written blood franklin bathroom named actress carter idea placing subtle reunion table production designer decided creating rooms sides having plastic surgery unit operating rooms represent imaginary like previous episode home objected graphical content carter intervene help retain scenes episode features references nurse episode named friend writers called slight change real nurse called white existed chicago viewers ended finding reference innocent woman prosecuted salem witch trials deck popular deck utilized world episode references known publishing books founder sisters tried depict anybody connecting franklin known cult sent angry letters fox portrayal beliefs broadcast reception premiered fox network november episode earned nielsen rating share meaning roughly percent television equipped households percent households watching television tuned episode seen million viewers broadcast gillian_anderson described scripts shot explaining watch scenes doctor stabbing patient david_duchovny stated didn understand plot liked script noting carter team improved weak director kim_manners excellent job entertainment_weekly gave feeling gore worried fourth consecutive performance duchovny anderson todd_vanderwerff negative grading felt episode gore shown directly instead suggested criticized characterization especially scully predictable bad dialogue story sense despite praise strong guest acting awarded stars commenting things went wrong noting reliance gore thought odd bad magic succeed noting good magic useless logic addition thought episode biggest flaw lack logical writing required suspension belief viewer examinations unauthorized look seasons files commented ending similar ending episode signs wonders antagonist manages away cinefantastique gave mixed review writing episode combines plastic surgery black magic mix fails obsession beauty reviews negative writer took liking episode having viewed eighteen times counting writing speculated provided viewers haunting memories beach named episode best files
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