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Shot on location in San Francisco, it was followed by a sequel titled Criminally Insane 2. The morbidly obese Ethel Janowski, who is institutionalized because of her bouts of depression and violence, is released into her grandmother's care despite Dr. Gerard's unease about Ethel's discharge. Upon moving into her grandmother's San Francisco home, Ethel begins consuming massive amounts of food, repeatedly claiming that the institution employees had tried to starve her to death.

The film was released in Hong Kong on 17 December Due to the popularity of Chow's break-out performance in the previous instalment, he was cast in a new character as the twin brother of "Mark", who was killed in the previous film. Film director John Woo and producer Tsui Hark had disagreements over the focus of this film. Tsui felt that the film should focus more on Dean Shek's character. This led to the film being edited by both Tsui and Woo. Their disagreements would lead to a split after this film, with Hark directing A Better Tomorrow 3 and Woo moving on to create The Killer. Several years after the events of A Better Tomorrow , Sung Tse-ho Ti Lung is offered early parole by the police in exchange for spying on his former boss and mentor, Lung Sei Dean Shek , who is suspected of heading a counterfeiting operation.

The actor said wearing a fat suit for the movie taught her what it is like to be humiliated as an obese person. Why are TV and film characters so rarely treated with dignity and respect? Jack Black plays Hal, a man so shallow he has to be hypnotised in order to date a fat woman, who, through his boggled eyes, he sees as a very thin woman. This, Paltrow says now, was not clear to her until she had to live like a fat woman.

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