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Pauline, a disturbed, outcast teenager, has a fascination with surgery and experiences violent, psychosexual fantasies, all while aspiring to a career in medicine.
AnnaLynne McCord
Pauline
Traci Lords
Phyllis
Ariel Winter
Grace
Roger Bart
Bob
Jeremy Sumpter
Adam
John Waters
William
Malcolm McDowell
Mr. Cooper
Marlee Matlin
Amber
Matthew Gray Gubler
Mr. Claybaugh
Ray Wise
Principal Campbell
Molly McCook
Natalie
Natalie Dreyfuss
Abigail
Cole Bernstein
Kimberly
Matthew Fahey
Nathan
Sidney Franklin
Timothy
Brennan Bailey
Sebastian
Emily Bicks
Breanna
Cameron Allen
Young Pauline
Rachel Ann Mullins
Zombie (uncredited)
Adam Silver
Ryan
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