 Adrienne 's head is split open by a swinging pendulum blade in one death scene , an effect that took several hours to set up . A fake head was created from a model cast of actress Victoria Morsell 's head , with pumps installed to pump fake blood into it , and strings attached to either side so it could be pulled apart . The crew only had one head model , so they had to keep putting it back together and reuse it over and over for each take . After filming was completed , the crew put the head back together and took a picture of Morsell with it . Morsell had to have her face covered in plaster when the model of her head was created , and she experienced some anxieties during the process , saying it felt " like being buried alive " . Robert Miano had similar feelings of anxiety when a model of his body was created , which was used in the game for a scene when Carno is set on fire . Miano had to sit on a chair for hours as the crew put plaster all of his body and face , during which he had to breathe through straws in his nostrils . 
