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Horror Cult Classic

A disco dancer is trapped in a psychiatric ward after a misdiagnosis—and the real danger is just beginning.

THE FIFTH FLOOR

The Nightmare Is Knowing You're Sane.

1978 · 1h 30m · R · Horror / Thriller / Mystery · IMDB TMDB

A young woman collapses on the disco dance floor of what's revealed to be strychnine poisoning. Assuming that this is an attempt at suicide, her boyfriend and doctor wrongly commit her to the Fifth Floor, an insane asylum.

Quick Answer

What is The Fifth Floor about?

The Fifth Floor is a 1978 American horror-thriller film directed by Howard Avedis about a disco dancer who, after a drug overdose, is wrongly committed to a psychiatric ward where she faces unwanted attention from an unstable orderly.

Programmer's Pick

The Fifth Floor spins disco fever into institutional dread, trading mirror balls for padded walls. Watch for Robert Englund before Freddy and the unsettling vibes of late-'70s psych ward cinema.

— SassyFlix Programmer

Overview

Kelly McIntyre's night out at a disco takes a dire turn when she accidentally overdoses and collapses on the dance floor. Mistakenly labeled as a suicide attempt, she's committed to the psychiatric ward on the fifth floor of Cedar Springs Hospital. Isolated from the outside world and abandoned by her boyfriend, Kelly finds herself at the mercy of the institution and its staff. Her greatest challenge comes in the form of Carl, an unbalanced orderly whose interest in her grows more menacing by the day. Set against the backdrop of the late-1970s disco era, The Fifth Floor is a psychological horror-thriller that explores vulnerability, institutional failure, and predatory behavior within a system meant to protect.

Details & Specs

Director
Howard Avedis
Writers
Meyer Dolinsky, Howard Avedis, Marlene Schmidt
Release
1978
Runtime
1h 30m
Country
United States of America
Language
English

Cast & Crew

View all →
Director: Howard Avedis Writers: Meyer Dolinsky +2 more

Explore More

Why Cult

Disco Era Nightmare

From flashing lights to psychiatric lights, see the 1970s disco scene turn sinister when a night out leads to institutionalization.

Unbalanced Orderly

Bo Hopkins delivers a chilling performance as Carl, the orderly whose obsession with Kelly ratchets up the film’s tension.

Misdiagnosis Terror

The horror isn't supernatural—it's a real-world nightmare of being trapped in a system that refuses to listen.

Robert Englund Early Role

Catch Robert Englund before his Freddy Krueger days as Benny, adding to the film’s unsettling atmosphere.

Scene Gallery

Threat File

Trigger

Accidental drug overdose at a disco

Threat

Confinement in a psychiatric ward and predatory staff

Effect

Isolation, vulnerability, and psychological danger to Kelly

Setting

Fifth floor of Cedar Springs Hospital

Questions from the Vault

When was The Fifth Floor released? +

The Fifth Floor was released in 1978.

Who directed The Fifth Floor? +

The Fifth Floor was directed by Howard Avedis.

How long is The Fifth Floor? +

The Fifth Floor has a runtime of 90 minutes.

What genre is The Fifth Floor? +

The Fifth Floor is a horror-thriller.

Where can I watch The Fifth Floor? +

You can watch The Fifth Floor on SassyFlix.

Trailers & Clips

The Fifth Floor trailer
Official Trailer
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