Since no one actually answered the OP's question yet, it's clear that the film made little lasting impression at its film fest screenings, and since I actually saw it at the TIFF premiere last year, here's a few thoughts about why:
It's BOOOOORRRRRIINNNG. Evrenol has definite visual chops, but absolutely nothing that distinguishes him from several other "gritty" horror (or torture horror) directors who've come and gone from the scene in the past decade. The film has a nice feeling of unease for the first act, but when the cops finally reach "Hell" -- or whatever it is -- the pace just slows to a crawl while Evernol treats us to a tiresome slog through his version of "hell" which is little more than a parade of freakish, grotesque performers and barely-skin-deep gore that has virtually no point beyond its own existence, set to a droning soundtrack that can put you to sleep, and then The End.
As a calling card, it MIGHT get him more horror work, but only because a few fest programmers saw some merit in it as a midnight show, not because it significantly shakes up the genre, which it absolutely does not.
I gave it a 5 out of 10, because I've seen better AND worse horror shows than this in just about equal measure.
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