Movies Like The Fifth Floor

If you liked The Fifth Floor (1978), a horror and thriller movie directed by Howard Avedis, 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
Stonehearst Asylum (2014)
★ 6.9/10Also thriller and horror
An Oxford Medical School graduate takes a position at a mental institution and soon becomes obsessed with a female mental patient, but he has no idea of a recent and horrifying staffing change.
2
The Rule of Jenny Pen (2025)
★ 6.1/10Also horror and thriller
Confined to a secluded rest home and trapped within his stroke-ridden body, a former Judge must stop an elderly psychopath who employs a child's puppet to abuse the home's residents with deadly consequences.
3
Barbarian (2022)
★ 6.9/10Also horror and thriller
In town for a job interview, a young woman arrives at her Airbnb late at night only to find that it has been mistakenly double-booked and a strange man is already staying there. Against her better judgement, she…
4
Ma (2019)
★ 5.8/10Also horror and thriller
Sue Ann is a loner who keeps to herself in her quiet Ohio town. One day, she is asked by Maggie, a new teenager in town, to buy some booze for her and her friends, and Sue Ann sees the chance to make some unsuspecting…
5
Hellbound: Hellraiser II (1988)
★ 6.4/10Also horror and thriller
Now confined to a mental hospital, young Kirsty insists her supposedly dead father is actually stuck in Hell following his wife’s betrayal. Few believe the young woman’s lurid stories aside from the thrill-seeking Dr…
6
The Deliverance (2024)
★ 6/10Also horror and thriller
Ebony Jackson, a struggling single mother fighting her personal demons, moves her family into a new home for a fresh start. But when strange occurrences inside the home raise the suspicions of Child Protective Services…
7
Sucker Punch (2011)
★ 6.2/10Also thriller
A young woman, institutionalized by her abusive stepfather, retreats into a vivid fantasy world where she envisions a plan to escape. Gathering a group of fellow inmates, she embarks on a quest to collect five mystical…
8
Unsane (2018)
★ 6.2/10Also horror and thriller
A woman is involuntarily committed to a mental institution where she is confronted by her greatest fear.
9
The Entity (1982)
★ 6.9/10Also horror and thriller
A single mom is raped by an invisible force. Her psychiatrist believes the experience stems from childhood trauma, while she knows something supernatural is at play.
10
Blink Twice (2024)
★ 6.7/10Also thriller and horror
When tech billionaire Slater King meets cocktail waitress Frida at his fundraising gala, he invites her to join him and his friends on a dream vacation on his private island. But despite the epic setting, beautiful…
11
Dressed to Kill (1980)
★ 6.9/10Also thriller and horror
After witnessing a mysterious woman brutally slay a homemaker, prostitute Liz Blake finds herself trapped in a dangerous situation. While the police thinks she is the murderer, the real killer is intent on silencing…
12
Case 39 (2009)
★ 6.3/10Also horror and thriller
In her many years as a social worker, Emily Jenkins believes she has seen it all, until she meets 10-year-old Lilith and the girl's cruel parents. Emily's worst fears are confirmed when the parents try to harm the…
13
The Call (2013)
★ 6.8/10Also thriller
Jordan Turner is an experienced 911 operator but when she makes an error in judgment and a call ends badly, Jordan is rattled and unsure if she can continue. But when teenager Casey Welson is abducted in the back of a…
14
Smile (2022)
★ 6.7/10Also horror
After witnessing a bizarre, traumatic incident involving a patient, Dr. Rose Cotter starts experiencing frightening occurrences that she can't explain.
15
Girl in the Basement (2021)
★ 7.6/10Also thriller
Sara is a teen girl who is looking forward to her 18th birthday to move away from her controlling father Don. But before she could even blow out the candles, Don imprisons her in the basement of their home.
16
The Invisible Man (2020)
★ 7.1/10Also thriller and horror
When Cecilia's abusive ex takes his own life and leaves her his fortune, she suspects his death was a hoax. As a series of coincidences turn lethal, Cecilia works to prove that she is being hunted by someone nobody can…
17
Get Out (2017)
★ 7.6/10Also thriller and horror
Chris and his girlfriend Rose go upstate to visit her parents for the weekend. At first, Chris reads the family's overly accommodating behavior as nervous attempts to deal with their daughter's interracial…
18
Bloodline Killer (2024)
★ 5.9/10Also horror and thriller
Moira Cole endeavors to rebuild her shattered life after her family's murder at the hands of her deranged and obsessed cousin.
19
You'll Never Find Me (2024)
★ 6.1/10Also horror and thriller
Patrick, a strange and lonely resident, lives in a mobile home at the back of an isolated caravan park. After a violent thunderstorm erupts, a mysterious young woman appears at his door, seeking shelter from the…
20
Succubus (2024)
★ 8.3/10Also horror and thriller
A new father going through a marital separation joins a dating app and matches with a beautiful but mysterious young woman... whose powers of seduction and manipulation entangle him in a mystery more horrifying than he…