I think they gave up the ending for a chance at shock value

Rating: Null/10 (22 February 2005)

They had the perfect villain type with the psychotically moral orderly, that saw the world through underdog eyes and that his superiors and others had to be taught a lesson in the value of life.
The orderly seemed to be on friendly terms the patient (the Mastermind of the game) that was treated like a specimen by the doctors and students, saying he's a nice guy,
Just for shock value The producer twisted the ending and made the psychotic orderly just another pawn in the game revealing that the poisoned corpse centerpiece ( The patient disguised) was actually the mastermind of the game of Life.
It was alright. But what was this guy in the hospital for? If he was sick all this time when did he have the time for these murders? or were we supposed to believe the orderly was Rancliff? Possibly... But it said he always liked to watch..? I guess the viewer will have to come to their own conclusion.
I would have liked to see Danny Glover play the patient . instead of another retired cop part. And If You look closely ladies and gentle man the foot never left the doctors foot the pants leg just got longer.