Frederick R. Friedel originally made the film under the comparatively subdued title Lisa, Lisa, reflecting its slow, rural psychological-horror atmosphere rather than its graphic violence. It first screened in Greenville, South Carolina, beginning December 9, 1974. When executive Harry Novak of Boxoffice International Pictures prepared a Los Angeles re-release for January 1978, he replaced Friedel's preferred title with Axe, choosing a blunt, sensational word designed to sell the picture as exploitation horror. Friedel later said the new title sacrificed the surprise, irony, and subtlety he believed were contained in Lisa, Lisa. The retitled film subsequently acquired an even more notorious afterlife in Britain, where it became one of the so-called video nasties seized or banned during the early-1980s campaign against violent horror videos. The controversy transformed a $25,000 independent production, shot in only nine days around a North Carolina farmhouse, into a cult object whose marketing history and censorship reputation often overshadowed its modest origins.
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