🎯 Quick Overview
Trailer
- Director: Nick Searcy
- Genre: Crime, Drama, Biography
- Release year: 2018
- Runtime (length): 1h 33min
- IMDb rating: 6.6/10 (11,380 votes)
- Rotten Tomatoes: 0%
😅 Plot Summary – Badly Explained
A drug bust somehow leads cops to a doctor’s horror clinic filled with hoarded babies, forcing everyone involved to finally confront the unfathomable mess.
🍿 Gosnell: The Trial of America’s Biggest Serial Killer: Detailed Plot Synopsis
The Shocking Discovery
In February 2010, Philadelphia police detectives, along with federal DEA and FBI agents, conduct a drug raid on a seemingly ordinary inner-city abortion clinic run by Dr. Kermit Gosnell. Their initial search for illegal prescription drugs quickly uncovers something far more disturbing. Officers are horrified by the clinic’s extremely unsanitary conditions, including foul smells, bloodstains, and improperly sterilized equipment. Bags containing aborted fetuses are found scattered in hallways and stairwells, and fetal remains are stored in refrigerators and freezers alongside food.

Investigation and Mounting Evidence
As the investigation deepens, detectives Wood and Stark interview former and current clinic employees. They learn about horrifying practices, including untrained staff administering anesthesia, leading to the death of at least one patient, Karnamaya Mongar, from an overdose. Further inquiry reveals abortions being performed illegally after the 24-week limit. Most shockingly, staff report that some babies were delivered alive, after which Dr. Gosnell would sever their spinal cords with scissors.

Building the Case Against Gosnell
Despite initial reluctance from federal agencies focused only on drug charges, the Philadelphia detectives bring their findings to the District Attorney’s office. Assistant DA Alexis McGuire takes on the daunting task of prosecuting Gosnell for murder. A search of Gosnell’s home yields large amounts of cash, highlighting the profitable nature of his clinic’s operations. The prosecution begins gathering expert testimony and evidence, including compelling accounts from former employees and photographic evidence from the clinic.

⚠️ Spoilers and Ending Explained
🎬 Cast & Characters
- Kermit Gosnell (Earl Billings): The doctor and abortion provider whose horrific practices lead to his conviction for murder and manslaughter.
- Detective James Wood (Dean Cain): A Philadelphia police detective who discovers the unsanitary conditions and criminal activities at Gosnell’s clinic during an investigation.
- Alexis ‘Lexy’ McGuire (Sarah Jane Morris): The Assistant District Attorney tasked with prosecuting Kermit Gosnell for murder despite the case’s political complexities.
- Mike Cohan (Nick Searcy): Kermit Gosnell’s defense attorney who argues his client provided a service to minority women during the controversial trial.
- DA Dan Molinari (Michael Beach): The Philadelphia District Attorney who authorizes the prosecution of Kermit Gosnell based on the shocking findings from the clinic raid.
- Molly Mullaney (Cyrina Fiallo): A former employee of Kermit Gosnell’s clinic whose testimony and evidence are critical to the prosecution’s case.
- Dr. North (Janine Turner): An abortion provider called as a witness whose testimony provides insight into the case’s broader implications.
💬 Memorable Quotes
- Nurse: “He was so big. He looked like he could be somebody’s little brother. I just thought there should be a picture of him. To show the world that he was here for a little while.” – A clinic worker explains why she took a photograph of a baby aborted late-term, highlighting the baby’s size.
- Molly Mullaney: “Nobody else is covering this. They don’t want to.” – The freelance investigative blogger discusses the lack of mainstream media attention on the Gosnell case and trial.
- Alexis ‘Lexy’ McGuire: “This isn’t about abortion. This is about murder.” – The lead prosecutor emphasizes the legal distinction between the abortions performed and the criminal charges against Gosnell.
- Detective James Wood: “I’ve never seen anything like this in my life.” – One of the police detectives expresses his shock and horror upon discovering the unsanitary and horrific conditions inside Gosnell’s clinic.
💰Box Office
- Budget: $2.5 million
- Domestic Gross: $3,679,893
- Worldwide Gross: $3,679,893
💥 Gosnell: The Trial of America’s Biggest Serial Killer Reviews
Personal Review
Wow, this movie was intense and really stuck with me. I went in not knowing a ton about the case, and it was absolutely shocking. The way they portrayed the clinic raid and the initial discovery was just gut-wrenching. It felt very real and horrifying. Then the courtroom scenes kept me on the edge of my seat, even knowing the outcome. The performances, especially of the doctor, were chillingly believable. It’s a tough watch, but felt like an important story to tell.
- Who would enjoy:
- “Fans of true crime dramas”
- “Viewers interested in legal thrillers and courtroom procedurals”
- “Individuals interested in the Kermit Gosnell case and its historical context”
- “Audiences who appreciate films based on significant real-life events”
- Content warnings ⚠:
- “Mature thematic content (explicitly mentioned in MPA rating)”
- “Disturbing images and descriptions (explicitly mentioned in MPA rating)”
- “Discussion and depiction of infanticide and illegal medical practices”
- “Scenes related to unsanitary conditions and death”
- “May be emotionally challenging due to the sensitive subject matter”
Professional Reviews
- Film Critic Roundup: “While the subject matter is undeniably horrific and important, the film struggles with a television movie aesthetic and sometimes heavy-handed approach. It lays out the disturbing facts of the case but often feels more like a procedural reenactment than a deeply cinematic experience. Performances are earnest, though occasionally stiff.
- Indie Film Observer: “This docu-drama delivers the facts of the Gosnell trial with clarity and conviction. Its strength lies in adhering closely to court transcripts and witness testimony, offering a stark look at neglected systemic failures. However, the filmmaking itself is somewhat pedestrian, lacking the narrative tension or visual flair to elevate the story beyond a straightforward procedural.
Audience Reactions
Many viewers found the film to be a powerful and accurate portrayal of a shocking true story.: Audiences frequently praised the movie for sticking to the facts of the trial and avoiding overt preaching, focusing instead on the disturbing reality of Gosnell’s actions and the system that failed to stop him for so long. The acting, particularly Earl Billings as Gosnell, was often singled out.
The emotional impact of the story left many viewers deeply moved and disturbed.: A common reaction was feeling emotionally affected by the subject matter, with many expressing disbelief that such events could occur. Some noted the film’s ability to convey the horror without being excessively graphic, making it accessible despite the difficult content.
Overall Consensus: A polarizing but generally well-received film among audiences who appreciate its factual, albeit unsettling, depiction of the infamous Kermit Gosnell trial, despite some criticism regarding production value or perceived bias.
Awards
🛠️ Behind the Scenes
- “Much of the film’s dialogue, particularly in courtroom scenes, was taken directly from actual court transcripts and witness testimony from the real Kermit Gosnell trial.”
- “The film faced significant challenges in advertising and distribution, with several major platforms reportedly refusing to run promotional material due to the controversial subject matter.”
- “Director Nick Searcy also played the role of Mike Cohan, Kermit Gosnell’s defense attorney, stating he took the part to help the film get made.”
- “Filming took place in Oklahoma, rather than Philadelphia where the actual events occurred.”
- “The movie aimed for a PG-13 rating despite the graphic subject matter by focusing on descriptions and emotional impact rather than showing explicit or gory details.”
🖥️ How to Watch Gosnell: The Trial of America’s Biggest Serial Killer?
Find ‘Gosnell: The Trial of America’s Biggest Serial Killer’ available for rent or purchase on major digital platforms. Look for it on services such as Amazon Prime Video, Apple TV, Vudu, and Google Play Movies & TV. Availability on subscription streaming services may vary over time, so check current listings on these platforms.

🎥 Similar Movies
If you enjoyed Gosnell: The Trial of America’s Biggest Serial Killer, you might like these similar films:
- Spotlight (2015): Like ‘Gosnell’, this film is a true-crime drama about journalists investigating systemic cover-ups and disturbing institutional failures.
- Compliance (2012): Based on a disturbing true story, this film explores themes of authority, manipulation, and the capacity for people to participate in horrific acts under specific circumstances, similar to the clinic workers in ‘Gosnell’.
- The Report (2019): This film, set around the same time period, is another drama based on a true story of an investigation into ethically challenging and politically charged events involving systemic issues and government oversight.
- She Said (2022): A modern film about investigative journalism uncovering hidden abuse and systemic complicity, mirroring the themes of bringing uncomfortable truths to light that were ignored by institutions.
- All the President’s Men (1976): A seminal investigative journalism film that demonstrates the persistence required to uncover a scandal and expose a hidden truth, appealing to viewers interested in the ‘truth to power’ aspect of the Gosnell story.
🛒 Gosnell: The Trial of America’s Biggest Serial Killer Related Products
- Gosnell: The Shocking Story of America’s Biggest Serial Killer: Written by the filmmakers, this book provides an in-depth, investigative look into the Gosnell case, offering details beyond what was shown in the movie, drawn from grand jury reports, trial transcripts, and interviews.
- The New Jim Crow: Mass Incarceration in the Age of Colorblindness: A powerful and critically acclaimed book that examines systemic issues within the U.S. justice system, relevant to the film’s portrayal of an inner-city clinic and its patient base.
- Law & Order: The Complete Series: A massive collection of the iconic crime procedural drama, known for its ‘ripped from the headlines’ legal and police investigations.
- Forensic Science Kit for Teens and Adults: An educational kit allowing users to explore basic forensic science principles like fingerprint analysis, DNA extraction, and crime scene investigation techniques.
🎧 Soundtrack
Gosnell: The Trial of America’s Biggest Serial Killer features a captivating soundtrack that enhances the movie’s atmosphere and emotional impact. Here are some notable tracks:
- “Original Score” – performed by Jakub Červenka
- “Song of the Innocents” – performed by Five for Fighting
You can find the complete soundtrack on Amazon Music and Apple Music.
🤨 FAQ
Yes, the movie is based on the true story of Dr. Kermit Gosnell, a Philadelphia physician and abortion provider who was convicted in 2013 of murdering three infants born alive and the involuntary manslaughter of a patient.
Kermit Gosnell was convicted of three counts of first-degree murder for killing infants born alive by severing their spinal cords, one count of involuntary manslaughter in the death of patient Karnamaya Mongar due to a drug overdose, and numerous other felonies related to illegal late-term abortions and unsanitary conditions.
The movie claims to be based on actual trial transcripts and evidence. Many reviewers noted its focus on presenting the facts of the case. While dramatized for film, the core events depicted, including the clinic raid, the conditions, the testimonies, and the verdict, align with the widely reported details of the real trial.
Beyond the horrific nature of the crimes themselves, the case became controversial due to allegations of minimal media coverage initially, and the highly sensitive nature of the setting (an abortion clinic), which intersected with ongoing debates about abortion laws and regulations.
🔥 Bonus Content
Jodi Arias vs. Kermit Gosnell – Man on the Street
Wow, this video hits hard! Ever wonder *why* someone would make a movie about Kermit Gosnell? This street interview shows you the shocking reason – most people don’t even know who he is, which makes the film’s mission feel really important.
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