the city dump, where scavengers open it up and proceed to carve up the elephant and take away the meat. Orgo chides Fenix for crying "like a little girl" and tattoos a spread-eagled phoenix onto his chest, identical to the one on his own chest, using a knife dipped in red ink. This tattoo, Orgo says, will make Fenix a man. Later on, Concha, during her trapeze act, sees Orgo and the tattooed woman sneak out of the big top. She chases after them and, seeing them sexually engaged, pours a bottle of sulphuric acid onto Orgo's genitals. Orgo retaliates by cutting off both her arms (much like the girl previously venerated). He then walks into the street and slits his own throat. Fenix witnesses this, locked inside a trailer. He then sees the tattooed woman drive off with Alma. Back in the present, Fenix is taken on a trip out of the asylum to a movie theater along with other patients, most of whom have Down syndrome. A pimp intercepts them and persuades them to take cocaine and follow him to meet an overweight prostitute. Fenix then spots the tattooed woman, who is now a prostitute, and becomes consumed with rage. Back in the asylum, Fenix's armless mother Concha calls out for him from the street and he escapes by climbing down a rope from his cell window. The tattooed woman is shown trying to prostitute Alma, who runs away and sleeps on the roof of a truck. The tattooed woman is then killed by the hands of an unseen assailant. Fenix and Concha go on to perform an act whereby he stands behind her and moves his arms so that they appear to be Concha's arms. But Concha soon starts to use her son's hands to kill women whom Fenix is interested in, including a young performer and a cross-dressing wrestler. A dream sequence subsequently shows that Fenix has killed many more women, all of whom haunt him. Alma finds Fenix and together they plan to run away from Concha. She tries to force Fenix to murder Alma as well, but, after a struggle, he manages to plunge a knife into Concha's stomach. She vanishes, but not before taunting Fenix by saying she will always be inside of him. Through a quick series of flashbacks, it is revealed that Concha in fact died after being maimed by Orgo,