99		Hush...Hush, Sweet Charlotte (Crime, Drama, Horror, 1964)
84		The Craft (Drama, Fantasy, Horror, 1996)
80		Izo (Action, Drama, Fantasy, Horror, 2004)
80		Ghost Story (Drama, Horror, Thriller, 1981)
78		Pet Sematary (Fantasy, Horror, 1989)
77		The Gift (Drama, Fantasy, Horror, 2000)
75		Midnight Son (Horror, 2011)
70		Like Minds (Crime, Horror, Mystery, 2006)
70		The Prowler (Horror, Mystery, Thriller, 1981)
67		Cherry Falls (Horror, Mystery, Romance, 2000)
66		Un jeu d'enfants (Drama, Fantasy, Horror, 2001)
66		The Omen (Fantasy, Horror, Mystery, 1976)
65		The Changeling (Fantasy, Horror, 1980)
65		Funny Games (Crime, Drama, Horror, 2007)
65		The VVitch: A New-England Folktale (Horror, Mystery, 2015)
65		Nightmare (Crime, Drama, Horror, 1981)
65		Torture Garden (Fantasy, Horror, 1967)
65		Phantom of the Opera (Drama, Horror, Music, 1943)
65		Surveillance (Crime, Drama, Horror, 2008)
65		The Town That Dreaded Sundown (Crime, Drama, Horror, 1976)
65		The Grudge (Horror, Mystery, Thriller, 2004)
65		V/H/S (Fantasy, Horror, 2012)
65		White Noise (Drama, Horror, Mystery, 2005)
65		1408 (Fantasy, Horror, 2007)
63		Warlock (Action, Fantasy, Horror, 1989)
62		Ricky 6 (Biography, Crime, Drama, Horror, 2000)
61		Interview with the Vampire: The Vampire Chronicles (Drama, Fantasy, Horror, 1994)
60		The Boy (Horror, Mystery, Thriller, 2016)
60		In the Mouth of Madness (Fantasy, Horror, Mystery, 1994)
60		The Wolfman (Drama, Fantasy, Horror, 2010)
60		Half Light (Drama, Horror, Mystery, 2006)
60		The Fog (Fantasy, Horror, 1980)
60		Three Cases of Murder (Crime, Mystery, Drama, Horror, 1955)
60		The Vault of Horror (Fantasy, Horror, 1973)
60		Dead & Buried (Horror, Mystery, 1981)
60		Tell Tale (Drama, Horror, Sci-Fi, 2009)
60		Strait-Jacket (Drama, Horror, Thriller, 1964)
60		Bone Tomahawk (Adventure, Drama, Horror, 2015)
60		Thirst (Fantasy, Horror, 2009)
60		The Lords of Salem (Drama, Fantasy, Horror, 2012)
60		Conjurer (Horror, Thriller, 2008)
60		No Man's Land: The Rise of Reeker (Horror, Thriller, 2008)
60		One Missed Call (Fantasy, Horror, Mystery, 2003)
60		Horns (Drama, Fantasy, Horror, 2013)
59		Hideaway (Fantasy, Horror, Thriller, 1995)
59		The Exorcist III (Drama, Fantasy, Horror, 1990)
59		Thinner (Fantasy, Horror, 1996)
58		Maniac Cop (Action, Crime, Horror, 1988)
57		Jason Lives: Friday the 13th Part VI (Horror, Thriller, 1986)
57		The Believers (Crime, Drama, Horror, 1987)
57		Resurrection (Crime, Drama, Horror, 1999)
56		Peeping Tom (Drama, Horror, Thriller, 1960)
56		Nosferatu the Vampyre (Drama, Fantasy, Horror, 1979)
55		Vampire (Drama, Horror, Thriller, 2011)
55		Dead Silence (Horror, 2007)
55		Carriers (Drama, Horror, Sci-Fi, 2009)
55		Ilsa: She Wolf of the SS (Crime, Drama, Horror, 1975)
55		The Living and the Dead (Drama, Horror, Mystery, 2006)
55		The Lost (Crime, Drama, Horror, 2006)
55		The Terror (Horror, Thriller, 1963)
55		Survival of the Dead (Horror, 2009)
55		The Visitation (Horror, Thriller, 2006)
55		Poltergeist (Fantasy, Horror, 1982)
55		The Penalty (Crime, Drama, Horror, 1920)
55		The Bad Seed (Crime, Drama, Horror, 1956)
55		Kalifornia (Crime, Drama, Horror, 1993)
55		Sinister (Horror, Mystery, 2012)
55		30 Days of Night (Horror, 2007)
55		Twin Peaks: Fire Walk with Me (Drama, Fantasy, Horror, 1992)
55		Terror Train (Horror, Thriller, 1980)
55		Tamara (Horror, Fantasy, Thriller, 2005)
55		...E tu vivrai nel terrore! L'aldilà (Horror, 1981)
55		The Face at the Window (Drama, Horror, 1939)
55		The Vampire Bat (Drama, Horror, Mystery, 1933)
54		Two Evil Eyes (Horror, 1990)
54		Flatliners (Drama, Horror, Sci-Fi, 1990)
54		The Ghost and the Darkness (Adventure, Drama, Horror, 1996)
54		The Prophecy (Action, Fantasy, Horror, 1995)
53		Friday the 13th Part VII: The New Blood (Horror, 1988)
53		Snow White: A Tale of Terror (Fantasy, Horror, 1997)
53		Pumpkinhead (Fantasy, Horror, 1988)
53		Black Circle Boys (Drama, Horror, Thriller, 1997)
52		Dead of Winter (Drama, Horror, Thriller, 1987)
52		The Others (Fantasy, Horror, Thriller, 2001)
52		Faust (Fantasy, Horror, 2000)
52		The Majorettes (Action, Crime, Horror, 1987)
52		Hellraiser (Fantasy, Horror, 1987)
51		The Innocents (Fantasy, Horror, 1961)
51		The Initiation (Horror, Mystery, Thriller, 1984)
50		Vampire Circus (Horror, 1972)
50		The Other (Drama, Horror, Mystery, 1972)
50		The Vampire Lovers (Horror, 1970)
50		Wolfen (Horror, Thriller, 1981)
50		Curse of Chucky (Horror, Thriller, 2013)
50		The Puppet Masters (Horror, Sci-Fi, Thriller, 1994)
50		Hansel & Gretel: Witch Hunters (Action, Fantasy, Horror, 2013)
50		Playback (Horror, Thriller, 2012)
50		11-11-11 (Horror, Mystery, Thriller, 2011)
50		The Exorcism of Emily Rose (Drama, Horror, Thriller, 2005)
50		Haunts (Horror, 1977)
50		Night Watch (Horror, Mystery, Thriller, 1973)
50		From Beyond the Grave (Fantasy, Horror, 1974)
50		The Car (Action, Horror, Mystery, 1977)
50		Insidious (Fantasy, Horror, Mystery, 2010)
50		The Asphyx (Horror, Sci-Fi, 1972)
50		Wilderness (Horror, 2006)
50		Murders in the Rue Morgue (Crime, Horror, Mystery, 1932)
50		Halloween (Horror, 2007)
50		The City of the Dead (Horror, Mystery, Thriller, 1960)
50		The Girl Next Door (Crime, Drama, Horror, 2007)
50		Laid to Rest (Horror, Thriller, 2009)
50		My Bloody Valentine (Horror, Thriller, 2009)
50		Village of the Damned (Horror, Sci-Fi, 1960)
48		Urban Legend (Horror, Mystery, Thriller, 1998)
48		Poltergeist III (Horror, Thriller, 1988)
48		Spawn (Action, Horror, 1997)
46		Sleepless (Horror, Mystery, Thriller, 2001)
46		Silver Bullet (Horror, 1985)
46		Curse of the Demon (Fantasy, Horror, Mystery, 1957)
46		Rosemary's Baby (Drama, Horror, 1968)
45		Scar (Crime, Horror, Thriller, 2007)
45		Scream 4 (Horror, Mystery, 2011)
45		City of the Living Dead (Horror, 1980)
45		Thirst (Horror, Romance, Sci-Fi, 1979)
45		Don't Answer the Phone! (Horror, Mystery, Thriller, 1980)
45		Danika (Drama, Horror, Mystery, 2006)
45		Who Can Kill a Child? (Fantasy, Horror, 1976)
45		Pit and the Pendulum (Drama, Fantasy, Horror, 1961)
45		House of Usher (Drama, Fantasy, Horror, 1960)
45		Possession (Drama, Horror, 1981)
45		Horrors of the Black Museum (Horror, 1959)
45		The Child (Horror, 1977)
45		The Children (Horror, Mystery, Thriller, 2008)
45		Reaper (Crime, Horror, Sci-Fi, 2014)
45		Hellboy (Action, Fantasy, Horror, 2004)
45		Constantine (Drama, Fantasy, Horror, 2005)
45		Trauma (Horror, Mystery, Thriller, 1993)
45		Open Grave (Horror, Mystery, Thriller, 2013)
45		Byzantium (Drama, Fantasy, Horror, 2012)
45		Mystery of Edwin Drood (Drama, Horror, Mystery, 1935)
45		Dorothy Mills (Drama, Horror, Mystery, 2008)
45		Mirrors (Horror, Mystery, 2008)
45		Where the Dead Go to Die (Animation, Crime, Drama, Horror, 2012)
45		The Amityville Horror (Drama, Horror, Mystery, 2005)
45		Starry Eyes (Drama, Fantasy, Horror, 2014)
45		Pillow of Death (Mystery, Horror, 1945)
45		Silent Rage (Action, Horror, Sci-Fi, 1982)
45		Nine Dead (Crime, Drama, Horror, 2010)
45		Rogue (Action, Adventure, Horror, 2007)
45		The House on Sorority Row (Horror, Mystery, Thriller, 1983)
45		The Devil's Rejects (Crime, Horror, 2005)
45		Land of the Dead (Horror, 2005)
45		Reminiscence: The Beginning (Horror, Romance, Thriller, 2014)
45		The Possession of Michael King (Horror, 2014)
45		The Devil's Chair (Horror, 2007)
45		Strangler of the Swamp (Drama, Fantasy, Horror, 1946)
45		Heartless (Drama, Fantasy, Horror, 2009)
45		Primeval (Action, Adventure, Crime, Horror, 2007)
45		Green Room (Crime, Horror, Music, 2015)
44		The Pit and the Pendulum (Horror, Romance, 1991)
44		I Come in Peace (Action, Crime, Horror, 1990)
43		Scream 2 (Horror, Mystery, 1997)
43		The Night Flier (Fantasy, Horror, Mystery, 1997)
43		Lady in White (Fantasy, Horror, Mystery, 1988)
43		Phantasm II (Action, Fantasy, Horror, 1988)
43		Offerings (Horror, 1989)
42		Henry: Portrait of a Serial Killer (Biography, Crime, Drama, Horror, 1986)
42		Final Destination (Horror, Thriller, 2000)
42		Ravenous (Fantasy, Horror, Thriller, 1999)
42		Diabolique (Crime, Drama, Horror, 1955)
42		City in Panic (Crime, Horror, Thriller, 1986)
42		Ginger Snaps (Drama, Fantasy, Horror, 2000)
42		Scream 3 (Horror, Mystery, 2000)
42		Prince of Darkness (Horror, 1987)
42		My Sweet Killer (Drama, Horror, Thriller, 1999)
42		Berserker (Horror, 1987)
42		Dark Age (Adventure, Horror, 1987)
41		The Mothman Prophecies (Drama, Horror, Mystery, 2002)
41		White Slave (Adventure, Drama, Horror, 1985)
41		The Exorcist (Horror, 1973)
41		The Ring (Horror, Mystery, 2002)
40		The Burning (Horror, 1981)
40		Mask Maker (Horror, 2011)
40		Delusion (Horror, 1981)
40		Happy Birthday to Me (Horror, Mystery, Thriller, 1981)
40		Texas Chainsaw 3D (Horror, Thriller, 2013)
40		Lady Stay Dead (Drama, Horror, Thriller, 1981)
40		The Descent: Part 2 (Adventure, Horror, Thriller, 2009)
40		The Loved Ones (Horror, Thriller, 2009)
40		Perkins' 14 (Horror, Thriller, 2009)
40		The Godsend (Drama, Horror, 1980)
40		Dementia (Film-Noir, Horror, Mystery, 1955)
40		Valley of the Zombies (Action, Drama, Horror, 1946)
40		Pet Sematary II (Fantasy, Horror, 1992)
40		The Boogey Man (Horror, Sci-Fi, 1980)
40		Stage Fright (Horror, Thriller, 1980)
40		Dr Jekyll & Sister Hyde (Horror, Sci-Fi, 1971)
40		Relative Fear (Drama, Horror, Thriller, 1994)
40		Pathology (Crime, Horror, Thriller, 2008)
40		The Amityville Horror (Horror, 1979)
40		Son of Dracula (Fantasy, Horror, 1943)
40		The Blood on Satan's Claw (Horror, 1971)
40		The Demon's Rook (Adventure, Fantasy, Horror, 2013)
40		The Kiss (Horror, Romance, 2008)
40		Wer (Action, Fantasy, Horror, 2013)
40		The Good Son (Drama, Horror, Thriller, 1993)
40		Aliens vs. Predator: Requiem (Action, Horror, Sci-Fi, 2007)
40		Mausoleum (Horror, 1983)
40		Black Friday (Drama, Horror, Sci-Fi, 1940)
40		Night Warning (Horror, 1982)
40		House (Drama, Horror, Thriller, 2008)
40		Alone in the Dark (Horror, Thriller, 1982)
40		One Dark Night (Horror, 1982)
40		The Purge: Election Year (Action, Horror, Sci-Fi, 2016)
40		The House That Dripped Blood (Horror, 1971)
40		The Catman of Paris (Fantasy, Horror, Mystery, 1946)
40		Priest (Action, Fantasy, Horror, 2011)
40		Wonderland (Fantasy, Horror, Sci-Fi, 2011)
40		Drive-In Horrorshow (Horror, 2009)
40		Heartstopper (Horror, Thriller, 2006)
40		Don't Look Now (Drama, Horror, Thriller, 1973)
40		Devil (Horror, Mystery, Thriller, 2010)
40		Beyond Atlantis (Fantasy, Horror, Sci-Fi, 1973)
40		The Pyx (Horror, Thriller, Crime, 1973)
40		June 9 (Horror, Mystery, Thriller, 2008)
40		The Last House on the Left (Crime, Drama, Horror, 1972)
40		Carnival of Souls (Fantasy, Horror, Mystery, 1962)
40		Tourist Trap (Horror, 1979)
40		Saw III (Horror, 2006)
40		Gui si (Drama, Horror, Mystery, 2006)
40		The Food of the Gods (Adventure, Horror, Sci-Fi, 1976)
40		Hostel: Part II (Horror, 2007)
40		The Curse of Frankenstein (Horror, Sci-Fi, 1957)

Notes: Movies similar to Needful Things, Movies like Needful Things, Crime, Drama, Fantasy, Horror, Fraser C. Heston, Max von Sydow, Ed Harris, Bonnie Bedelia, Amanda Plummer, Films, Video, Movie Similarities