Movies like The Fifth Floor (1978)
The best movies like The Fifth Floor (1978) are Gothika (2003), The Ward (2011) and Stepfather 3 (1992). If The Fifth Floor hooked you with its horror and thriller, these 30 similar films are what to watch next, and every pick says why it matches.
Quick picks
- Highest ratedGet Out (2017)7.6/10 from 19,632 votes
- NewestThe Rule of Jenny Pen (2025)Released 2025
Gothika (2003)
After a car crash, criminal psychologist Dr. Miranda Grey regains consciousness only to find that she's a patient in the same mental institution that currently employs her. She's been accused of murdering her husband Dr. Douglas Grey — but she has no memory of committing the crime. As she tries to regain her memory and convince her co-worker, Dr. Pete Graham, of her innocence, a vengeful spirit uses her as an earthly pawn, which further convinces everyone of her guilt.
Why it matches: Fans watch both · both horror & thriller
Popcorn FlickMovies like thisThe Ward (2011)
Kristen, a troubled young woman, is captured by the police after burning down a farmhouse and is locked in the North Bend Psychiatric Hospital. Soon, she begins to suspect that the place has a dark secret at its core and she's determined to find out what it is.
Why it matches: Fans watch both · both horror & thriller
SnoozefestMovies like thisStepfather 3 (1992)
After escaping a Puget Sound institution, "Stepfather" Gene Clifford alters his appearance with plastic surgery and takes on another new identity: Keith Grant. Moving to Deer View, California, Keith falls for a divorced school principal, arousing the suspicions of her wheelchair-bound, computer-savvy son.
Why it matches: Fans watch both · both horror & thriller
SnoozefestMovies like thisRiding the Bullet (2004)
In 1969, while studying at the University of Maine, artist Alan Parker becomes obsessed with death. Believing he is losing his girlfriend, he tries to commit suicide on his birthday but his friends manage to stop him. He receives news that his mother has had a stroke and decides to hitchhike to visit her at the hospital.
Why it matches: Fans watch both · both horror & thriller
SnoozefestMovies like thisTwisted Nerve (1968)
Martin Durnley is a young man with an infantilizing mother, resentful stepfather and an institutionalized brother with Down's syndrome. To cope, he retreats into an alternate child personality he calls Georgie. After being caught during a theft attempt at a department store, he befriends a female customer who is sympathetic to him, but his friendship soon turns into obsession.
Why it matches: Fans watch both · both thriller & horror
Popcorn FlickMovies like thisSpiral (2007)
A reclusive telemarketer has only one semblance of a friend: His telecommuter boss. But the telemarketer's social circle seems to improve greatly when a whimsical co-worker enters his life. Only, as he begins to sketch his new friend's portrait, disturbing "voices" from the phone man's past threaten to lead him into a network of destruction.
Why it matches: Fans watch both · both thriller & horror
Popcorn FlickMovies like thisComa (1978)
When relatively healthy patients begin having 'complications' during simple operations and ending up in comas, a concerned doctor defies her male superiors when she suspects a secret plot.
Why it matches: Fans watch both · both thriller
Popcorn FlickMovies like thisMischief Night (2013)
Young Emily Walton, who has suffered from psychosomatic blindness ever since the car accident that took her mother's life, must summon every instinct at her disposal to protect herself and her loved ones from an intruder.
Why it matches: Fans watch both · both horror & thriller
SnoozefestMovies like thisThe Rule of Jenny Pen (2025)
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.
Why it matches: Recommended by TMDB viewers · both horror & thriller
Popcorn FlickMovies like thisStonehearst Asylum (2014)
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.
Why it matches: Recommended by TMDB viewers · both thriller & horror
Popcorn FlickMovies like thisBarbarian (2022)
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 decides to stay the night anyway.
Why it matches: Recommended by TMDB viewers · both horror & thriller
Popcorn FlickMovies like thisMa (2019)
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, if younger, friends of her own.
Why it matches: Recommended by TMDB viewers · both horror & thriller
SnoozefestMovies like thisHellbound: Hellraiser II (1988)
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. Channard. Kirsty is undeterred and, with the help of a fellow patient, heads to Hell for a rescue.
Why it matches: Recommended by TMDB viewers · both horror & thriller
Popcorn FlickMovies like thisThe Deliverance (2024)
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 and threaten to tear the family apart, Ebony soon finds herself locked in a battle for her life and the souls of her children.
Why it matches: Recommended by TMDB viewers · both horror & thriller
Popcorn FlickMovies like thisUnsane (2018)
A woman is involuntarily committed to a mental institution where she is confronted by her greatest fear.
Why it matches: Recommended by TMDB viewers · both horror & thriller
Popcorn FlickMovies like thisThe Entity (1982)
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.
Why it matches: Recommended by TMDB viewers · both horror & thriller
Popcorn FlickMovies like thisAlive (2018)
A severely injured man and woman awake in an abandoned sanitarium only to discover that a sadistic caretaker holds the keys to their freedom and the horrific answers as to their true identity.
Why it matches: Recommended by TMDB viewers · both horror & thriller
Popcorn FlickMovies like thisDressed to Kill (1980)
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 her only witness.
Why it matches: Recommended by TMDB viewers · both thriller & horror
Popcorn FlickMovies like thisCase 39 (2009)
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 child, and so Emily assumes custody of Lilith while she looks for a foster family. However, Emily soon finds that dark forces surround the seemingly innocent girl, and the more she tries to protect Lilith, the more horrors she encounters.
Why it matches: Recommended by TMDB viewers · both horror & thriller
Popcorn FlickMovies like thisBlink Twice (2024)
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 people, ever-flowing champagne, and late-night dance parties, Frida can sense that there’s something sinister hiding beneath the island’s lush façade.
Why it matches: Recommended by TMDB viewers · both thriller & horror
Popcorn FlickMovies like thisDead of Winter (1987)
A fledgling actress is lured to a remote mansion for a screen-test, soon discovering she is actually a prisoner in the middle of a blackmail plot.
Why it matches: Recommended by TMDB viewers · both horror & thriller
Popcorn FlickMovies like thisThe Unhealer (2021)
A botched faith healing bestows supernatural Shaman powers on a bullied teenager. When his lifelong tormentors pull a prank that kills someone he loves, he uses his powers for revenge and goes on a bloody rampage to settle the score.
Why it matches: Recommended by TMDB viewers · both thriller & horror
SnoozefestMovies like thisGet Out (2017)
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 relationship, but as the weekend progresses, a series of increasingly disturbing discoveries lead him to a truth that he never could have imagined.
Why it matches: Recommended by TMDB viewers · both thriller & horror
Worth the HypeMovies like thisThe Invisible Man (2020)
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 see.
Why it matches: Recommended by TMDB viewers · both thriller & horror
Worth the HypeMovies like thisSucker Punch (2011)
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 items, blurring the lines between reality and imagination.
Why it matches: Recommended by TMDB viewers · both thriller
Popcorn FlickMovies like thisThe Call (2013)
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 man's car and calls 911, Jordan is the one called upon to use all of her experience, insights and quick thinking to help Casey escape, and not just to save her, but to make sure the man is brought to justice.
Why it matches: Recommended by TMDB viewers · both thriller
Popcorn FlickMovies like thisSmile (2022)
After witnessing a bizarre, traumatic incident involving a patient, Dr. Rose Cotter starts experiencing frightening occurrences that she can't explain.
Why it matches: Recommended by TMDB viewers · both horror
Popcorn FlickMovies like thisGirl in the Basement (2021)
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.
Why it matches: Recommended by TMDB viewers · both thriller
Worth the HypeMovies like thisTwin Peaks: Fire Walk with Me (1992)
In the questionable town of Deer Meadow, Washington, FBI Agent Desmond inexplicably disappears while hunting for the man who murdered a teen girl. The killer is never apprehended, and, after experiencing dark visions and supernatural encounters, Agent Dale Cooper chillingly predicts that the culprit will claim another life. Meanwhile, in the more cozy town of Twin Peaks, hedonistic beauty Laura Palmer hangs with lowlifes and seems destined for a grisly fate.
Why it matches: Similar story and style · both horror
Worth the HypeMovies like thisTheeran Adhigaaram Ondru (2017)
A hardnosed cop goes after a gang of ruthless dacoits who have been terrorising residents along the highway for a decade.
Why it matches: Similar story and style · both thriller
Worth the HypeMovies like this
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Frequently asked questions
What are the best movies like The Fifth Floor?
The closest matches to The Fifth Floor are Gothika (2003), The Ward (2011) and Stepfather 3 (1992). Below are 27 more, each with the reason it matches.
What should I watch after The Fifth Floor?
People who watched The Fifth Floor most often go on to Gothika (2003), The Ward (2011) and Stepfather 3 (1992).
What is the highest-rated movie like The Fifth Floor?
Get Out (2017), rated 7.6/10 by 19,632 TMDB users.
What is the newest movie like The Fifth Floor?
The Rule of Jenny Pen (2025) is the most recent release on this list.
Are there English movies like The Fifth Floor?
Yes: Gothika (2003), The Ward (2011) and Stepfather 3 (1992).
How are movies similar to The Fifth Floor chosen?
First come films that Trakt’s viewers watch alongside The Fifth Floor, then TMDB’s recommendations and films it rates as similar in story and genre. Each pick says which signal put it there.