Edward G Pettit

Michael Cuesta's Tell-Tale has been playing the Tribeca Film Festival and at one screening, a patron passed out and the film was halted while paramedics wheeled the man out.

Variety gave the film a very positive review:

Edgar Allan Poe could have used a new liver, but not in his most macabre hallucinations could he have imagined his classic "The Tell-Tale Heart" being transformed into the horror-transplant vision of "Tell Tale," a thriller that will keep its considerable viewership off balance while providing star Josh Lucas with one of the better opportunities of his career. Under the imprimatur of producers Ridley and Tony Scott, the very talented Michael Cuesta ("L.I.E.") has made his most accessible film to date, an intelligent creepfest that may have auds imagining the movie playing on and on, beneath the floorboards.

Robert Levin also liked it:

Set in an unnamed city, the film only specifies a few locations, rarely engages with the particulars of everyday life, and makes a concerted point of locking itself away in the main character’s mind.

The film benefits from the vacuity, as it lets Mr. Cuesta focus his energies squarely on the intense, atmospheric depiction of an individual coming apart at the seams. Mr. Lucas deglamorizes for the part, looking pale, withdrawn and lacking the self-assurance that usually defines his onscreen persona. By inspiring sympathy despite seeming dispiritingly weak-willed, laying bare the scared man functioning with a fearless heart, the actor displays unexpected range. The heart beats that pulsate loudly on the soundtrack, glumly darkened city streets and shock cuts to flurries of images from his donor’s past powerfully express the loneliness of his condition.

I hope this finds a distributor soon.  Sounds pretty good.  You can see a clip here. And there's an interview with director Cuesta here:

Beaks: To give people a sense of what the movie is, it sounds like the narrative is basically "The Tell-Tale Heart", but with the heart up out of the floorboards and embedded in Josh Lucas's character. And it's actively trying to find the murderer rather than lying there and driving the culprit crazy? Is that accurate?

Cuesta: It's doing both. The floorboards are his body, his chest. And it is driving him crazy. The similarity with Poe is that it has that madness and insanity. "Is it me, or is it my mind?" "Is it my own prejudice?" - as it is in "The Tell-Tale Heart" with him accusing the old man. And "Am I in control, or not in control?" It being in his own chest, it keeps beating in his own head; therefore, his conscience is telling him "I need to do this." And he ends up believing and following it.