Alexandria is immediately drawn into the story, which Roy uses to manipulate her into finding morphine for him. As Roy's mental state deteriorates, the lines between fiction and reality begin to blur and people from the hospital begin to populate the story. The story also begins to take on a dark, sinister tone, leaving Alexandria as the only person who can save Roy and his fictional characters.
The most striking aspect of The Fall is its visuals - making the Blu-ray version your first choice. The staging and use of color is highly reminiscent of how The Wizard of Oz used visuals to delineate between Dorothy's fantasy and real-life. A bulk of the narrative takes place in the hospital, which is portrayed as a muted, confined space. In contrast, the world Roy creates for his story is colorful and wide-open. The contrast between the two worlds is so great that the hospital scenes might as well been filmed in black and white. It does a masterful job of drawing you into the story just as much as Alexandria.
The core story between Roy and Alexandria is good, though a little thin since you know early on that Roy is manipulating Alexandria and that somehow she'll save him. However, these elements are completely forgivable when viewed alongside the fantasy story - especially when elements from real-life begin to work their way into the story. Without the real-life links and grounding, the story behind the fantasy would feel even more nonsensical and might not work as well as it does.
The bonus features are good and focus mainly on the film's production. Although listed as two separate features, the two could easily be viewed as one hour-long feature. I especially liked how the two felt like real behind the scenes looks; there's little in the way of commentary and instead if feels like someone was just walking around on set with a camera.
It's hard to not recommend The Fall. Even if the story is lost on you, just seeing the amazing visuals is enough to at least place it in your rental queue.