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Eli Roth’s first feature began with his own skin coming apart. While working in Iceland in the early 90s, Roth contracted a severe infection from rotting hay that caused his face to bleed and his skin to peel every time he shaved. A lifelong horror fan, he immediately recognized the experience as something that could be expanded into a story.
In 1995, Roth and Randy Pearlstein began writing what would become Cabin Fever. Once the script was finished, Roth struggled to find a studio willing to buy it, repeatedly being told that horror was no longer profitable. When Scream was released in 1996, studios suddenly reversed course, but only if the films resembled meta slashers in the same mold. Once again, Roth’s script was passed over.
After deciding to pursue private investors, including his own father, Roth was finally able to make his first feature film, which has now been released in a new 4K scan from Lionsgate.
Cabin Fever was shot on Super 35, giving the film its distinctive, gritty, and nostalgic look. “It was my first movie, so there were a lot of things I didn’t know about shooting on Super 35. One of those things is that there are a lot of different steps between the negative and what gets shown in the theater,” Roth explained.
Made for $1.5 million, the film went on to become Lionsgate’s most profitable release of 2003, earning $22 million at the box office and outperforming every other horror film released theatrically that year.
Despite its success, Roth later felt that the finished film suffered from excessive contrast, particularly in its darkest sequences. “When you’re shooting things that are on the edge of darkness, like the hermit’s burned skin, or me dead in the cave ripped in half with the worms in my ear, that extra contrast is almost like putting a screen over it. All the detail of the rotting flesh kind of gets lost,” he said.
The film’s color timing relied in part on a bleach bypass process, a technique that skips the bleach stage of film processing to retain silver in the image, resulting in higher contrast and desaturated colors. While visually striking, it often crushed shadow detail. The new 4K scan corrects many of those over-contrasted scenes, allowing the effects to appear far more visible and textured.
“There’s so much more detail that you can see now. All the rotting skin, the worms, all the flesh. It’s beautiful. It looks gorgeous.”

Roth’s first feature has since become a cult classic, one that openly pays homage to its influences, including The Thing, The Evil Dead, Dawn of the Dead, and The Texas Chain Saw Massacre. “This movie wears its influence on its sleeve,” Roth said.
That affection also extends to the film’s use of music, particularly the folk songs written and performed by David Hess, the composer of The Last House on the Left. “I went to a screening of Last House on the Left, and I heard that music and thought, would modern audiences accept this?” Roth recalled. “It was so odd to me, and I loved it. It hits me in this deep, nostalgic spot.”
Working within a limited budget, Roth approached Hess directly, convincing him to lend his music by explaining that a theatrical release could introduce the songs to a new generation of viewers. Hess agreed on one condition, that his children be allowed to rerecord the tracks. Roth then redirected the money originally intended for music rights into renting a studio, allowing Hess and his children to record the songs together.
That same spirit of creative problem-solving now feels newly visible in the 4K restoration, where Cabin Fever’s handmade textures, influences, and music finally come through with a clarity earlier home releases could not fully capture.
The new 4K Steelbook from Lionsgate also includes an extensive collection of special features. These include Scratching the Surface: A Look Back and Establishing Shot with Eli Roth, along with legacy extras such as audio commentaries with Roth and cast members Rider Strong, Jordan Ladd, Cerina Vincent, and Joey Kern, The Rotten Fruit, Beneath the Skin: The Making of Cabin Fever, deleted scenes, TV spots, trailers, and additional featurettes including Pancakes! and Mad Dog.
Categorized: Interviews
