12 Movies Like The Substance You Need to Watch

Craving dark, twisty picks after The Substance? Explore 12 eerie films with body horror, sci-fi, drama, and satire, updated for 2026.

12 Movies Like The Substance You Need to Watch

If you were pulled in by movies like The Substance, you probably want more than a standard scare: sharp body horror, uneasy satire, and stories that keep twisting long after the credits. This roundup brings together 12 unsettling picks that mix drama, horror, sci-fi, action, and even a little comedy, with standouts like The Fix (2024), Shell (2024), Replicator (2024), Else (2024), and Grafted (2024). You’ll also find future-watch titles such as The Beauty (2026) alongside older favorites like Matriarch (2022), giving you a wide range of strange, stylish, and provocative choices. Whether you want freaky transformation stories or darker character-driven thrillers, these films hit many of the same nerves while still feeling fresh.

  1. 01

    The Fix

    ★ 4.92024Movie

    action · sci-fi

    When a troubled model takes a new drug at a party, she suffers a shocking transformation. Pursued by authorities and a dangerous gang, she hunts for a fix to reverse these effects, only to discover her mutations could save the human race.

    Directed by Kelsey EganCast Grace Van Dien, Daniel Sharman, Keenan Arrison, Tina Redman, Robyn Rossouw
    Amazon Prime Video
  2. 02

    Shell

    ★ 52024Movie

    comedy · horror · thriller

    Desperate to reclaim her career, once-beloved actress Samantha Lake is drawn into the glamorous world of wellness mogul Zoe Shannon -only to uncover a monstrous truth beneath its flawless surface.

    Directed by Max MinghellaCast Elizabeth Berkley, Leanne Suter, Kate Hudson, Elisabeth Moss, Kaia Gerber
    Paramount Plus
  3. 03

    Replicator

    ★ 3.72024Movie

    horror · sci-fi

    A young public defender investigates the sudden moral transformation of a small town's criminals, uncovering sinister supernatural forces and a harrowing path to redemption.

    Directed by Mark Andrew HamerCast KateLynn E. Newberry, Brey Noelle, Brian Spangler, Jim Azelvandre, LeJon Woods
    Amazon Prime Video
  4. 04

    The Beauty

    ★ 6.62026TV Series

    drama · sci-fi

    The world of high fashion turns dark when international supermodels begin dying in gruesome and mysterious ways. FBI Agents Cooper Madsen and Jordan Bennett are sent to Paris to uncover the truth. As they delve deeper into the case, they uncover a sexually transmitted virus that transforms ordinary people into visions of physical perfection, but with terrifying consequences.

    Directed by Michael Uppendahl, Alexis Martin Woodall, Ryan Murphy, Crystle Roberson DorseyCast Evan Peters, Anthony Ramos, Jeremy Pope, Ashton Kutcher, Jess Alexander
    Hulu
  5. 05

    Else

    ★ 5.42024Movie

    drama · fantasy · horror · romance · sci-fi

    Anx has just met Cass when a mysterious virus breaks out: everywhere, people’s bodies are merging with objects. Stuck in their apartment, the couple must face this dreadful threat.

    Directed by Thibault EminCast Matthieu Sampeur, Edith Proust, Lika Minamoto, Toni d'Antonio, Camille Deveyrinas
    Amazon Prime Video
  6. 06

    Grafted

    ★ 5.62024Movie

    drama · horror · romance · thriller

    When an awkward but brilliant Chinese student wins a scholarship into a prestigious New Zealand University, she finds a new way of achieving the popularity she craves one bloody body at a time.

    Directed by Sasha RainbowCast Mark Mitchinson, Jess Hong, Chloe Parker, Jared Turner, Eden Hart
    AMC+
  7. 07

    Matriarch

    ★ 4.62022Movie

    horror

    Afflicted with a mysterious disease after surviving an overdose, a woman returns to her childhood home to confront her personal demons but instead discovers a real one.

    Directed by Ben SteinerCast Jemima Rooper, Kate Dickie, Sarah Paul, Simon Meacock, Nick Haverson
    Hulu
  8. 08

    The Dead Thing

    ★ 4.82024Movie

    drama · horror · mystery · romance

    A young woman lost in a series of meaningless connections falls in love with a charismatic and sensitive man, who hides a dark secret that turns her affair into a dangerous obsession.

    Directed by Elric KaneCast Katherine Hughes, Blu Hunt, John Karna, Emily Joy Lemus, Josh Marble
    AMC+
  9. 09

    Replace

    ★ 4.82017Movie

    horror · sci-fi · thriller

    Kira's skin starts to age rapidly, dry out and crumble away. But then she discovers that she can replace her own skin with somebody else's.

    Directed by Norbert KeilCast Rebecca Forsythe, Lucie Aron, Barbara Crampton, Sean Knopp, Adnan Maral
    AMC+
  10. 10

    Poor Things

    ★ 7.72023Movie

    comedy · drama · romance · sci-fi

    Brought back to life by an unorthodox scientist, a young woman runs off with a lawyer on a whirlwind adventure across the continents. Free from the prejudices of her times, she grows steadfast in her purpose to stand for equality and liberation.

    Directed by Yorgos LanthimosCast Emma Stone, Willem Dafoe, Vicki Pepperdine, Ramy Youssef, Jack Barton
    Netflix
  11. 11

    Apartment 7A

    ★ 5.92024Movie

    horror · thriller

    A struggling young dancer finds herself drawn in by dark forces when a peculiar, well-connected older couple promise her a shot at fame.

    Directed by Natalie Erika JamesCast Julia Garner, Dianne Wiest, Kevin McNally, Jim Sturgess, Marli Siu
    Paramount Plus
  12. 12

    Saccharine

    ★ 5.92026Movie

    drama · horror · sci-fi

    After succumbing to an obscure weight-loss craze involving the eating of human ashes, lovelorn medical student Hana finds herself haunted by the ghost of the person she's eating.

    Directed by Natalie Erika JamesCast Midori Francis, Danielle Macdonald, Madeleine Madden, Robert Taylor, Showko Showfukutei
    AMC+

Wrapping Up

This list is built for viewers who want that same blend of discomfort, style, and big ideas without getting the exact same movie twice. From new releases to cult-ready sleepers, each pick offers its own spin on identity, obsession, and bodily dread. Save this page for your next watch session, because it’s worth coming back to when you want something bold and offbeat. We update it regularly, so you’ll always have a current guide to the best films in this lane.

Frequently Asked Questions

What makes these movies similar to The Substance?

These picks were matched by tone, themes, and story style using a similarity model trained on plot synopses, genres, and cast — not just shared genre tags — so the connection runs deeper than a simple category match.

Last updated: September 8, 2026