Out of 79 reviews on Rotten Tomatoes, none of of them have been positive resulting in an abysmal 0% rating as of 2015. Rotten Tomatoes awarded the film the Mouldy Tomato award for the worst reviewed film of 2008 as a result.
Sound designers used the voice of Skid Row front man Sebastian Bach in the hospital basement sequence. The archive audio came from Bach's scream at the beginning of "Midnight Tornado", a song from the band's 1989 debut album, Skid Row.
In December 2007, a website dedicated to the film was launched as well as numerous websites running competitions to promote the film with the first prize being an Apple iPhone as part of the marketing campaign.