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His surrealist films like Eraserhead and Mulholland Drive explore fractured psyches and psychological breakdown through unsettling imagery and narrative fragmentation.

His psychological thrillers such as Repulsion and The Tenant delve into mental unraveling and paranoia with meticulous character study.

His horror films Hereditary and Midsommar dissect familial trauma and obsessive mental states through visceral and disturbing visual narratives.