Movies Like Psycho IV: The Beginning

If you liked Psycho IV: The Beginning (1990), a horror and mystery movie directed by Mick Garris, here are 20 movies with a similar feel, based on TMDB's recommendations. Each one links to its cast, trailer and where it's streaming.

1
Bone Lake (2025)
★ 5.9/10Also horror and mystery
A couple’s romantic vacation at a secluded lakeside estate is upended when they are forced to share the mansion with a mysterious and attractive couple. In this darkly hilarious and seductive horror story, a dream…
2
No One Lives (2013)
★ 6/10Also horror and thriller
A gang of ruthless highway killers kidnap a wealthy couple traveling cross country only to shockingly discover that things are not what they seem.
3
When a Stranger Calls Back (1993)
★ 5.9/10Also horror and thriller
Jill Johnson, now a crisis center counselor, reunites with retired detective John Clifford to hunt a killer stalking a coed.
4
Jigsaw (2017)
★ 6.2/10Also horror and mystery
Law enforcement finds itself chasing the ghost of a man dead for over a decade, embroiled in a diabolical new game that's only just begun.
5
Saw X (2023)
★ 7.1/10Also horror and mystery
Between the events of 'Saw' and 'Saw II', a sick and desperate John Kramer travels to Mexico for a risky and experimental medical procedure in hopes of a miracle cure for his cancer, only to discover the entire…
6
Spiral: From the Book of Saw (2021)
★ 5.9/10Also horror and mystery
Working in the shadow of an esteemed police veteran, brash Detective Ezekiel “Zeke” Banks and his rookie partner take charge of a grisly investigation into murders that are eerily reminiscent of the city’s gruesome…
7
The Hitcher (2007)
★ 5.9/10Also horror and thriller
While driving through the New Mexico Desert during a rainy night, college students Jim Halsey and his girlfriend Grace Andrews give a ride to a hitchhiker. While in their car, the stranger proves to be a psychopath…
8
Tightrope (1984)
★ 6.2/10Also mystery and thriller
Wes Block is a detective who's put on the case of a serial killer whose victims are young and pretty women. The murders are getting personal when the killer chooses victims who are acquaintances of Block. Even his…
9
The Hitcher (1986)
★ 7/10Also horror and thriller
On a stormy night, young Jim, who transports a luxury car from Chicago to California to deliver it to its owner, feeling tired and sleepy, picks up a mysterious hitchhiker, who has appeared out of nowhere, thinking…
10
Psycho Killer (2026)
★ 6.7/10Also horror and mystery
Following the brutal murder of her husband, a Kansas highway patrol officer sets out on a journey to track down the perpetrator. As the hunt progresses, she comes to realize the man responsible is a sadistic serial…
11
Strange Darling (2024)
★ 6.9/10Also thriller and horror
Nothing is what it seems when a twisted one-night stand spirals into a serial killer’s vicious murder spree.
12
The Infernal Machine (2022)
★ 6.2/10Also thriller and mystery
Reclusive and controversial author Bruce Cogburn is drawn out of hiding by an obsessive fan, forcing the novelist to confront a past that he thought he could escape, and to account for events set in motion by his…
13
Malignant (2021)
★ 6.7/10Also horror and mystery
Madison is paralyzed by shocking visions of grisly murders, and her torment worsens as she discovers that these waking dreams are in fact terrifying realities with a mysterious tie to her past.
14
The Cell (2000)
★ 6.3/10Also horror and thriller
A psychotherapist journeys inside the mind of a comatose serial killer in the hopes of saving his latest victim.
15
Grindhouse (2007)
★ 7/10Also thriller and horror
Grindhouse combines Robert Rodriguez's Planet Terror, a horror comedy about a group of survivors who battle zombie-like creatures, and Quentin Tarantino's Death Proof, an action thriller about a murderous stuntman who…
16
Goodnight Mommy (2022)
★ 6.3/10Also horror and thriller
When twin brothers arrive home to find their mother’s demeanor altered and face covered in surgical bandages, they begin to suspect the woman beneath the gauze might not be their mother.
17
Kill List (2011)
★ 6.2/10Also horror and thriller
Nearly a year after a botched job, a hitman takes a new assignment with the promise of a big payoff for three killings. What starts off as an easy task soon unravels, sending the killer into the heart of darkness.
18
Kiss Me Deadly (1955)
★ 7.2/10Also mystery and thriller
One evening, Hammer gives a ride to Christina, an attractive hitchhiker on a lonely country road, who has escaped from the nearby lunatic asylum. Thugs waylay them and force his car to crash. When Hammer returns to…
19
The Substitute 2: School's Out (1998)
★ 6.5/10Also mystery and thriller
When teacher Randall Thomasson is killed during a carjacking, an unexpected visitor shows up at his funeral - his estranged brother, Karl Thomasson. An ex-Green Beret turned mercenary, Karl signs on as a new substitute…
20
Saw (2004)
★ 7.4/10Also horror and mystery
Two men wake up to find themselves shackled in a grimy, abandoned bathroom. As they struggle to comprehend their predicament, they discover a disturbing tape left behind by the sadistic mastermind known as Jigsaw. With…