
Mouthwash: adaptation of a video game in progress Scott Derrickson, Karyn Kusama
After successfully restarting the resident Evil franchise with the video game adaptation of Zach Cregger, Sony is now setting its sights on another game to adapt.
The studio teamed up with Scott Derrickson, the horror filmmaker behind The black phone And Sinister films, to offer a cinematic version of the critically acclaimed psychological horror game Mouthwash on the big screen.
The studio acquired the feature film rights to Mouthwashthe game developed by Swedish company Wrong Organ and published by Critical Reflex, with Derrickson producing alongside C. Robert Cargill and Vince Cheng under their Crooked Highway banner. Crooked Highway has a production deal with Sony Pictures Entertainment to produce feature films for Screen Gems.
Matt Manfredi and Phil Hay have been tapped to write the screenplay while Karyn Kusama is attached to direct. The trio previously worked together on the 2015 psychological horror thriller. The invitation and the 2018 Nicole Kidman thriller Destructive.
Mouthwash follows five crew members stranded aboard the space freighter Tulpar, which crashes into an asteroid. Dwindling supplies, isolation and growing paranoia reveal the fractures between the crew.
The first-person psychological horror game combines surreal imagery with a non-linear narrative that explores responsibility, denial, and the consequences of unchecked power.
It received critical acclaim when it first launched on PC in 2024, earning an 88 rating on Metacritic and “overwhelmingly positive” user reviews on Steam. It also won Best Story and Players’ Choice at the Horror Game Awards, as well as Best Hidden Gem at the New York Game Awards. The game has since sold nearly a million units on PC.
The game has built an international audience beyond just gamers. According to the studio, the content surrounding Mouthwash has generated 63 million views on YouTube and nearly a billion views on TikTok.
Mouthwash launches today on PlayStation 5, PlayStation 4, Nintendo Switch, Xbox Series X|S, Xbox One and Xbox on PC, and will be available via Game Pass on console and PC.

Mouthwash
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Kusama, who recently directed episodes of Yellow vests And The Terroris carried by WME, Black Bear and Felker McGinnis. Manfredi and Hey, whose credits include Clash of the Titans and the Roll along films, are taken up by UTA and Alan Grodin.
Derrickson last performed The black phone 2 And The Gorgesboth released in 2025. He and Crooked Highway are repped by WME, Brillstein Entertainment Partners and Ziffren Brittenham.
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