"Mad in Italy" is a truly disturbing psychological film based on true events about one girl's ordeal to stay alive at the hands of a young maniac. Featuring amazing cinematography by one of the most talented Italian directors of photography Mirco Sgarzi (House of Flesh Mannequins and Orgy of Blood).

During an analytic session, a psychologist recommends that one of her patients be admitted to a specialist clinic, but this decision unleashes the mysterious individual's latent madness. Abandonment is the key to his delusion, which will lead him to kill once again, as he had done in the past with his first, lost love. So, after disposing of the analyst's body, he decides to continue the "therapy" alone with the aid of a small video camera, recording his emotional states in a hallucinatory crescendo.

The narrative unfolds Elena's traumatic childhood through a series of flashbacks, revealing the roots of her deep-seated distrust of others. With Lars' assistance, she endeavors to quell the nightmares that persistently haunt her, seeking to make peace with herself and reconcile with the past.