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Plot Summary

Autopsy (1975) Plot Summary Explained

Release, runtime and language
1975 · 100 mins · Italian
Directed by
Armando Crispino
Starring
Barry Primus, Massimo Serato, Ray Lovelock, Cindy Girling, Franco Moruzzi, Angela Goodwin

It takes a chilling turn when a string of seemingly random suicides in Rome, blamed on a heatwave, catches the attention of Simona, a young pathologist researching murders staged as suicides. After a girl linked to Simona’s playboy father is found dead in another apparent suicide, Simona joins forces with the girl’s brother, a priest, to prove it was murder and unmask the elusive serial killer.

On this page (6)
  1. 1 Where to watch
  2. 2 What happens: full plot
  3. 3 Plot questions answered
  4. 4 Movie threads
  5. 5 Movies like Autopsy
  6. 6 Every angle

Where to watch

Where to Watch Autopsy (1975)

Where can you watch Autopsy? Stream, rent or buy it in the US, including on Night Flight Plus, Fawesome and Cineverse: current JustWatch availability with up-to-date prices.

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Full plot summary · contains spoilers

What Happens in Autopsy: Full Plot Summary

The whole story of Autopsy (1975) explained, from the opening scene to the final frame: every key event, every twist and what it all adds up to. Read it as a quick recap before the sequel, to check a scene you missed, or to finally understand what really happened.

Abnormal solar activity is believed to have driven the violent escalation of suicides in Rome. In a city under a strange atmospheric strain, the body count rises in stark, disturbing ways: a woman cuts her wrists in a bathroom, a man slips into a river with a plastic bag over his head, another dies in his car after setting it on fire, and a husband/father shoots his family before turning the gun on himself. Amid the chaos, Simona Sena Mimsy Farmer works long hours at the coroner’s office, where the stress is so crushing that she begins to see the dead as if they’re stepping back to life. She moves through the days with a practiced calm that barely masks a fraying psyche, and she endures regular harassment from her assistant Ivo Ernesto Colli as she tries to hold on to some sense of professional distance and personal dignity.

Into this crowded, dangerous weave enters Betty Lennox [Gaby Wagner], the latest lover of Gianni Sanna [Massimo Serato], whose presence unsettles Simona even as it pulls her deeper into the spiraling mystery. Betty’s body is found on a beach the next morning, a gunshot through the mouth making the death look like suicide. But when Betty’s corpse is reconstructed by Ivo, who has a history of exploiting the dead, Simona recognizes her from a red wig Betty wore in life. Betty’s brother, Father Paul Lennox [Barry Primus], arrives at the morgue to identify his sister and asserts that she was murdered, not allowed to slip away. He implores Simona to help uncover the truth, a request that she meets with initial resistance, wary of the way faith and murder begin to blur.

As the investigation unfolds, Edgar Riccardo [Ray Lovelock], a race car driver with a bruising attitude, surfaces as a man who belittles Simona and tests her resolve. He is connected to Gianni’s life in unexpected ways, and his own pride and aggression complicate every step toward answers. Simona’s world grows even more tangled when she encounters Gianni’s partner Daniella [Angela Goodwin], a controversial artist who embraces bold colors and bold truths, including the red wigs that seem to haunt the case. Daniella’s presence stirs tension with Simona as she navigates both personal flirtations and professional skepticism, especially as she learns that Gianni plans to marry Daniella despite Betty’s entangled ties to the men around him.

A tense night at Gianni’s apartment—above Simona’s own building—brings a close call with a burglar, who searches for something unknown but leaves empty-handed. The encounter deepens the sense that someone is actively hiding crucial evidence. Paul, the priest who has claimed Betty’s murder, grows more insistent; he experiences a seizure during a confrontation with Simona, which shakes him but doesn’t derail his mission. The building’s caretaker—a voyeur who abuses his dog—takes his own life by hanging, a grim echo of the city’s unraveling morality, and Paul’s attempt to resuscitate him ends in failure. As Simona and Paul grow closer, Edgar’s taunts intensify, and he suggests that Paul might be fabricating the entire narrative to feed his own ego and faith.

To test Gianni’s truth, an experiment is conducted using a device that reads eye movements to extract answers from the apparently comatose man. The results are garbled, the wrong drug mix sends Gianni into a deeper coma, and Simona uses the moment to examine the Betty case more closely. She discovers a puncture mark on Betty, proving she was injected and murdered, not simply slain by suicide. Ivo makes a brutal attempt to violate Simona in the heat of the moment, but she defends herself with a fork, stopping just short of killing him when Edgar intervenes and interrupts the assault.

Paul’s church becomes a pressure cooker as he receives Betty’s belongings—among them an old Bible that he believes is a historic document salvaged from Rome’s floods decades ago. The Bible connects to a broader scheme involving Gianni’s brother Lello Sanna [Carlo Cataneo], a dealer in antiquities who may be entangled in illegal schemes. Paul confronts Lello, and the line between sacred duty and secular greed sharpens into a dangerous edge. Edgar finally reveals the truth to his aunt over a weak, hard-of-hearing line: Edgar killed his own father to secure an inheritance and a will, and he had used Betty to manipulate Gianni into retrieving the document. Betty wanted to mail back the will after speaking to Paul, but Edgar drugged her to hear the truth, then shot her to keep control of the situation.

Edgar’s confession, however, does not end the danger. He breathes a last breath after his plan to stage a joint suicide with Paul and Simona is foiled. The trio fights back against his deadly scheme, Paul turning on the bathroom faucet to flood the room and summon help as the dog’s alert saves them from a carbon monoxide trap. The climax unfolds on a familiar scaffold, where Edgar tries to kill them both; Paul survives the fall, but Edgar’s grip on the edge gives way, and he plummets to his death before a crowd that rushes to the scene, leaving Simona to confront the heavy truth that the case has pressed upon them all: some questions may be answered, but the cost is a heavier silence than before.

Last updated: October 09, 2025 at 11:24

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Plot questions answered

Autopsy Plot Explained: Your Questions Answered

The questions people ask most about Autopsy (1975): what happens in the confusing scenes, why the characters do what they do, the twists, hidden details and what the ending means. Each answer contains spoilers.

Q1

Why does Simona see the dead victims coming back to life?

Simona experiences psychological breaks due to the extreme stress of working in the coroner's office during the suicide crisis. The constant exposure to graphic deaths, combined with enduring harassment from her assistant Ivo, causes her to hallucinate that the corpses are returning to life. This is a symptom of her fraying mental state rather than anything supernatural.

  • simona
  • stress
  • hallucinations
  • coroner
  • psychological breakdown
Q2

How was Betty actually killed and why was it made to look like suicide?

Betty was injected with a drug and then shot through the mouth, staged to appear as a suicide. When Simona examines Betty's body more closely during the eye-tracking experiment on Gianni, she discovers a puncture mark on Betty's arm that proves she was injected before being shot. This reveals the murder was calculated to look like one of the suicide victims plaguing Rome.

Foreshadowing: Earlier, Ivo reconstructs Betty's body and Simona recognizes her by the red wig she wore when they first met.

  • betty lennox
  • murder
  • injection
  • puncture mark
  • suicide staging
Q3

What did Edgar confess to doing and why?

Edgar confessed to killing his own father to secure an inheritance. He had used Betty to manipulate Gianni into retrieving a hidden will from Gianni's brother Lello. When Betty wanted to mail the will back after speaking to Paul, Edgar drugged her to extract information, then shot her to maintain control over the situation and prevent her from revealing what she knew.

Foreshadowing: Earlier, Edgar reveals his father's death to his aunt over a weak telephone line, showing his nervous behavior about the inheritance.

  • edgar
  • father murder
  • inheritance
  • confession
  • betty
Q4

Why was Gianni paralyzed and who pushed him from the window?

Gianni becomes severely paralyzed after falling from his apartment window. While the summary doesn't explicitly name his attacker, the context suggests Lello Sanna (Gianni's brother and antiquities dealer) was responsible. Gianni had confronted Lello after believing he stole a document from Betty's envelope, and the fall leaves Gianni unable to speak, communicating only through eyelid movements.

Foreshadowing: Paul directly accuses Lello of theft and confronts him, nearly being shot in the process.

  • gianni
  • paralysis
  • fall
  • window
  • lello sanna
Q6

Why does Father Paul believe his sister Betty was murdered rather than suicidal?

Father Paul Lennox immediately suspects murder because he knows his sister Betty would not have taken her own life. His conviction drives him to implore Simona to investigate, despite her initial resistance. Paul's faith and personal knowledge of his sister make him certain someone killed her, though his own past as a race car driver who caused a fatal crash complicates the investigation and raises questions about his credibility.

  • father paul
  • betty lennox
  • priest
  • murder belief
  • brother
Q7

What did the eye-tracking experiment on Gianni reveal about his condition?

The eye-tracking experiment was designed to interpret Gianni's eyelid movements to answer questions about who pushed him, but a wrong drug mixture sends him into a deeper coma. However, this procedure gives Simona the opportunity to examine Betty's body more closely, leading to the discovery of the puncture mark that proves Betty was injected and murdered rather than dying by suicide.

  • eye tracking
  • gianni
  • coma
  • experiment
  • betty murder evidence
Q8

How did Edgar attempt to kill Simona and Paul in their apartment?

After confessing his crimes, Edgar drugs both Simona and Paul and attempts to stage a joint suicide using carbon monoxide poisoning in their apartment. However, Paul manages to trigger an escape plan by turning on the bathroom faucet to flood the room and summon help. The dog alerts neighbors, allowing emergency responders to save them before the carbon monoxide trap can kill them.

  • edgar
  • carbon monoxide
  • attempted murder
  • drugs
  • suicide staging
Q9

How does Edgar die at the scaffolding at the end of the movie?

Edgar corners Simona and Paul at his favorite photography scaffolding and tries to kill them by throwing them off the structure. Paul manages to save himself during the struggle, but Edgar loses his grip on the edge and plummets to his death in front of a crowd that rushes to the scene. This violent end comes after Edgar's entire scheme has been uncovered and his attempt to silence the witnesses has failed.

  • edgar
  • scaffolding
  • death
  • fall
  • final confrontation
Q10

Why does the building's caretaker commit suicide?

The building's superintendent, who is shown as a voyeur who abuses his dog, is found hanging in his bathroom using his dog's leash as a noose. This suicide appears to be connected to the wave of suicides plaguing Rome, possibly influenced by the abnormal solar activity. Paul attempts to resuscitate him but fails. The incident adds to the atmosphere of moral decay in the city and the building itself.

  • caretaker
  • superintendent
  • suicide
  • building
  • dog leash
Q11

What is the significance of the red wigs worn by Betty and Daniella?

Both Betty Lennox and Gianni's partner Daniella are associated with red wigs. Simona initially recognizes Betty's body at the morgue by the red wig she wore when they first met. Daniella, as a controversial artist, also embraces red wigs as part of her bold artistic persona. This visual motif creates a visual link between the women and adds to the eerie atmosphere of the mystery.

Foreshadowing: Simona meets Daniella, who wears red wigs like Betty did, creating visual confusion in the investigation.

  • red wig
  • betty
  • daniella
  • visual connection
  • costume
Q12

What role does the abnormal solar activity play in the string of suicides?

The movie opens with the explanation that abnormal solar activity is believed to have driven the violent escalation of suicides in Rome. This atmospheric phenomenon provides the backdrop for the story and creates an atmosphere of psychological unease. However, as the investigation progresses, it becomes clear that many of these deaths are actually murders staged to appear as suicides, with Edgar and others manipulating the situation for their own gain.

  • solar activity
  • suicides
  • rome
  • atmosphere
  • heatwave
Q13

What happens when Ivo attacks Simona in the morgue?

Simona's assistant Ivo attempts to sexually assault her in a brutal molestation, forcing his hand up her uniform. Simona defends herself with a fork, nearly killing him before Edgar intervenes and interrupts the assault. This violent incident underscores the mounting danger surrounding Simona and the toxic environment in the coroner's office, where she is already dealing with extreme stress and harassment.

  • ivo
  • assault
  • simona
  • morgue
  • sexual harassment

Movie threads

More Movies Like Autopsy, by Mood & Story

Curated lists built around what makes Autopsy tick: the same mood, the same kind of story or the same emotional payoff. Each list explains why these movies belong together.

Gritty investigative thrillers with high-stakes peril like in Autopsy

Where amateur investigators uncover corruption and face a sadistic killer. If you liked the dangerous detective work in Autopsy, explore more movies like it. These films feature determined investigators, from journalists to civilians, risking everything in gritty, high-tension stories of murder and corruption. They share a similar feel of oppressive suspense and high stakes.

  • suspenseful
  • gritty
  • anxious
  • high stakes
  • relentless
  • paranoid
  • Tone: dark, tense, gritty
  • Pacing: variable, with bursts of fast-paced action
Why these movies?

The story pattern: The narrative follows a protagonist who becomes personally invested in solving a series of crimes, frequently starting with a personal connection to a victim. The investigation places them in direct physical danger, leading to intense confrontations and a race against time to stop the killer before they become the next target.

Why they belong together: These movies are grouped by their shared focus on a tense, hands-on investigation set in a bleak urban environment. They feature a relentless pace of discovery and threat, a morally ambiguous world, and a constant sense of immediate danger for the main character.

Oppressive psychological horror with moral decay like in Autopsy

Stories where a city's corruption mirrors a character's psychological unravelling. For viewers who appreciated the heavy, decaying atmosphere of Autopsy, this thread collects movies with a similar feel. Discover other intense horror and thriller stories where the setting is as oppressive as the villain, focusing on psychological tension and themes of societal corruption.

  • oppressive
  • unsettling
  • somber
  • paranoid
  • decaying
  • anxious
  • Tone: dark, bleak, unsettling
  • Pacing: variable, deliberate build-up
Why these movies?

The story pattern: The story unfolds in a setting that is itself a character—a corrupt city or institution. The protagonist, often already vulnerable, is pushed to their psychological limits as they navigate this blighted landscape. The antagonist's violence is an extension of the environment's pervasive sickness, making the conflict deeply unsettling.

Why they belong together: This thread connects films through their shared atmosphere of oppressive dread and thematic focus on moral decay. The similarity lies in the fusion of personal psychological horror with a broader commentary on a sick society, creating a uniquely heavy and unsettling viewing experience.

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Movies Like Autopsy

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Every angle

Autopsy (1975) Explained: Plot, Timeline & Characters

Everything about Autopsy in one place: what happens in the plot summary, the timeline in chronological order, the characters and meaning and a spoiler-free summary. What's After the Movie adds the cast, box office and post-credit scenes.

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