We all know vaguely what happens when you have a caesarean section – you’re given anaesthetic, a cut is made in your abdomen and then, minutes later, your baby is pulled out and passed to you. It’s a magical medical moment.
But it turns out there’s actually a hell of a lot going on from the obstetrician’s perspective. More than you could possibly know.
A fascinating Tiktok video explaining the anatomy of a C-section has been viewed more than 11 million times after showing just how complicated the surgery can be.
Using various sheets of coloured fabric and paper, Tina (@mamma_nurse) explained how there are various layers that surgeons have to cut through, before moving muscle out of the way and then manoeuvring past organs – and that’s before you’ve even reached the area where the baby is.
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Most information given on C-sections by healthcare providers is lacking in details. Probably for good reason.
But if you’re the type of person who likes to be super informed ahead of birth – or you’re just really curious as to what the surgery involves – we asked Meg Wilson, an obstetrics and gynaecology consultant at London Gynaecology and the Whittington Hospital, to walk us through the process.
(Just a head’s up, there are some quite graphic images below.)
What happens during a C-section
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First up, you’ll be given some pain relief – either a regional or general anaesthetic – and a catheter is fitted. Your abdomen will be cleaned and a drape will be put up so you won’t be able to see the surgery unfold.
An obstetrician will make a 10 to 15cm cut along the skin at the bottom of your abdomen, just at the top of your pubic hairline.
The first layer they cut through is the skin, and that cut also goes through a layer of fat. “Then you come down on to the rectus sheath – a white fibrous layer – that is covering the muscles of the abdomen,” says Wilson.
They’ll make a cut in that as well and all these cuts will be done in the same direction: horizontally.
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Byba Sepit via Getty Images
Next up, they come to the rectus muscles “which people know as their six pack muscles,” says the obstetrician.
These two muscles run as a strip down the abdomen and where they join together is something called the linea alba. It’s a weak area which surgeons can basically “poke through” to open it up, says the obstetrician.
“That takes you into your abdomen, by making that little hole, and then you’re into what we call the peritoneal cavity which is the proper wet inside of your tummy.”
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Surgeons will make the hole a bit bigger by basically moving the two muscles apart.
“You’re pulling them out to the side to make a hole there,” says Wilson. “I think it’s really important that people know you’re not actually cutting muscles, you’re just shifting them apart.”
When in the peritoneal cavity, surgeons will get a nice view of the surface of your bladder and then the main event: the womb itself.
Now comes the really interesting bit. They have to actually move organs to get to where they need to be – so yes, they shift your bladder out of the way.
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“You lift up a little bit of something called the peritoneum,” she explains, which is “like a sheet that runs over the womb and the bladder.” Surgeons will make a small hole in that “sheet” and this allows them to see where the bladder is attached to the womb.
“It allows you to push the bladder out of the way and push it downwards a little bit,” Wilson says, noting it only gets moved about 1-2cm.
In the operating room, they have a specially designed surgical instrument that goes in to protect the bladder and hold it down and out of the way.
The surgeon cuts into the womb (again, a horizontal cut in the same direction as the skin cut). The womb is a muscle so they expect to have some bleeding at this point as muscles have a strong blood supply.
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In cases where a parent has placenta previa – where the placentacompletely or partially covers the opening of the uterus – it might be a bit more complicated, she adds, and they might have to cut higher up in the womb or even through the placenta, which could result in more blood loss.
“Then you’re going to hit the membranes around the baby – the amniotic sac – and you see that bulging out when you reach it,” Wilson continues. “You keep going and make a little hole in that with the scalpel and usually lots of amniotic fluid all comes spilling out in a big gush.”
At this point it’s all about getting the baby out. In a straightforward pregnancy the baby will be in a head down position, so they’ll get a nice view of that.
The retrieval process involves a bit of teamwork. “You put your hand in and slip your hand around the baby’s head – like a cupping action – and your assistant will put lots of pressure on the top of the woman’s tummy, pushing right at the top of womb where the baby’s feet are, and you’ve got your hands acting as a little slide for the baby to come out,” she says.
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The head pops out, then comes the neck, and then there’ll be a bit more gentle pulling to deliver the shoulders one at a time, and then the body “slips out relatively easily after”.
Michael Hanson via Getty Images
Doctors work to remove a baby from a woman’s uterus during a c section.
At this stage the curtain is often lowered and the parent(s) can see their baby and hold them. They tend to let the umbilical cord pulsate for at least a minute to give the baby beneficial nutrients and then they’ll clamp the cord, cut it and hand the baby to the midwife who will wrap them up and dry them off.
“Then it’s a case of removing the placenta, which is still stuck on to the lining of the inside of the womb,” says Wilson. “We pull a little bit on the cord and the placenta will be detaching.”
After the placenta has been removed, surgeons will then clean out the inside of the womb which Wilson says is “a very simple action” of rubbing a swab around the insides of the cavity “to make sure there’s no little bits of membrane or last little threads of placenta that are still there”.
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The mum will still be bleeding at this point so time is of the essence to get the womb stitched up again. Once that’s done, surgeons will take a moment to do a check and assess that there’s no additional bleeding anywhere.
bymuratdeniz via Getty Images
At this stage, she says, they clean away any spilt fluid and blood that may have collected in the sides of the pelvis using a swab. They also check the womb is contracted and that the ovaries and fallopian tubes look normal.
“It’s just an opportunity to do a health check because you’ve got the tummy open and it’s a relatively straightforward thing to do,” she adds.
The instrument protecting the bladder is then taken out and “then you allow everything to fall back into place,” adds Wilson. “The bladder will go back to where it was originally placed and those two rectus muscles that you held open to get into the cavity of the tummy will fall back into place as well.
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“You don’t routinely close the rectus muscles … they will come back together naturally and reform their meeting point.”
The next layer that’s surgically closed is the rectus sheath, which is the layer just beneath the fat. “We sometimes put a stitch in the fat layer but for most women we then just close the skin with another running stitch,” she adds.
“By routine we remove all the drapes and clean any collected blood that’s in the vagina,” she adds, “and make sure there’s no clots of blood or anything.”
At this point they might put in a painkiller suppository and a dressing is placed over the c-section wound. The whole process is complete in less than an hour.
Defence counsel Michael Boyd described his client’s behaviour as “outrageous”
20:23, 30 Apr 2026
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A burglar who jumped out of an 82-year-old man’s bin and knocked him to the ground before breaking into his east Belfast home has been jailed for 10 months.
Dylan Harding, 23, barricaded himself inside the pensioner’s house and lashed out at police officers called to the stand-off at Avoniel Road.
He was hiding out at the property while suffering from a drug-induced psychosis, a judge was told.
Harding, of Leven Drive in the city, admitted charges of burglary with intent to cause unlawful damage, common assault and assault on police.
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Belfast Magistrates’ Court heard the victim’s neighbour alerted him that a man had run over the extension roof of his home on Avoniel Road at around midday on January 5 this year.
He checked outside and noticed a black wheelie bin in the rear yard had moved, but while trying to move it back into place he discovered it was extremely heavy.
When the man opened the lid he discovered Harding hiding inside it.
“The defendant then jumped out of the bin and pushed the elderly injured party to the ground, causing him to fall back and hit his head on the concrete,” a prosecution lawyer said.
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The pensioner suffered a number of cuts and grazes to his head and hand in the attack.
Harding then entered the house, locked the back door and made his way to a utility bathroom area.
He used furniture as a barricade, including a cabinet damaged beyond repair in a bid to block the door.
Police called to the scene could not gain access to the bathroom and attempted to reason with Harding to let them in but he continued to deny access.
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Officers forced entry and discovered that he had been using his feet to keep the door shut.
With debris strewn about the room, Harding continued to lash out and struck a constable several times on the shins.
Defence counsel Michael Boyd described his client’s behaviour as “outrageous”.
“It was clearly a drug-induced psychosis,” the barrister said.
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“He thought individuals were trying to get him, which was the reason he was hiding in the bin and then barricaded himself in the property.”
Mr Biyd added that Harding is ashamed of his actions and wanted to apologise for the distress caused to the elderly victim he forced to the ground.
Citing her limited sentencing powers and giving credit for the guilty plea, District Judge Anne Marshall imposed a 10 month custodial term.
She told Harding: “This was a very serious incident and could well have ended up in the Crown Court.”
Today, the King and Queen head to New York for the second part of their state visit to the US.
We look at King Charles’ address to congress, what he said… and didn’t say, and if any of it is likely to have a lasting impact on US-UK relations.
Adam is joined in the studio our diplomatic correspondent James Landale, and by Daniela Relph, senior royal correspondent who’s in New York with the King and Queen.
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Plus, business editor Simon Jack tells Adam why some big players in the world of finance are worried that another financial crash might be on the horizon.
They point to similarities between now and the lead up to 2008, which they say paired with the ongoing geopolitical turbulence and the AI bubble, could be a recipe for disaster.
You can now listen to Newscast on a smart speaker. If you want to listen, just say “Ask BBC Sounds to play Newscast”. It works on most smart speakers.
You can join our Newscast online community here: https://bbc.in/newscastdiscord
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Newscast brings you daily analysis of the latest political news stories from the BBC. The presenter was Adam Fleming. It was made by Anna Harris with Shiler Mahmoudi. The social producer was Jem Westgate. The technical producers were Stephen Bailey and Ben Andrews. The assistant editor is Chris Gray. The senior news editor is Sam Bonham.
Preston Crown Court heard the evidence during the ongoing trial of Jamie Varley, 32, who is accused of sexual abuse and murder and his partner John McGowan-Fazakerley, 37, who is accused of allowing the death of a child.
13-month-old Preston Davey died less than four months after being placed with the couple in Blackpool.
Neighbour Jasmine Nuttall provided a statement which was read to the court.
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Ms Nuttall alleges that after the child, who the couple named Elijah, moved in next door on Staining Road, Blackpool, she would hear “raised voices” between the couple and the child crying.
In her statement, she said: “Elijah would cry a lot and to me and my family it was an unusual amount of crying.
“I would often think to myself, ‘Why is the baby crying so much?’”
The court heard how on one occasion she allegedly thought she heard a raised voice say “stop it now” out of frustration, which she thought “a bit short”, jurors heard.
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Ms Nuttall described the couple as “ordinary” and “friendly” and had no concerns about them.
Ms Nuttall told the court: “They seemed happy to have him.
“It seemed like a really happy little family.
“The news as to what has happened to Elijah has come as a complete shock to me.”
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Her father, Michael Nuttall, also described hearing the child cry frequently.
Mr Nuttall said: “Preston cried a lot.
“In fact, I think a one-year-old shouldn’t cry as much as that.
“The crying was high-pitched and he did seem distressed.”
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He said he did not raise his concerns with the couple as he did not want to be an “interfering neighbour.”
Preston Davey was born on June 16, 2022, and taken into care by Oldham Council, and placed with foster parents at five days old.
After an adoption assessment, he moved in with Varley and McGowan-Fazakerley in April, 2023.
The prosecution alleges that Preston was repeatedly abused, both physically and sexually, and suffered a total of 40 traumatic injuries.
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The jury also heard details of Preston’s first of three visits to Blackpool Victoria Hospital during the four months he lived with the defendants.
On May 25, Varley took him to A&E at around 11.10am.
Paediatric sister Zoe Hellowell told the court: “Jamie had hold of Preston, he was frantic and held him out to me and said, ‘He is not breathing!’”
She described Preston as unresponsive, floppy and breathing ineffectively.
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Ms Hellowell also noted bruises on either side of Preston’s forehead. Nurse Holly Edwards referred this to hospital safeguarding which was passed on to Lancashire Police.
A medical report shown to the jury said Preston had “unexplained injuries, inconsistent with a version of events given.”
Dr Ghada Tahraoui in a statement said social services staff had been asked to attend the hospital but following discussion with a medic there did not appear to be any concerns, the court heard.
On July 27, the child was again brought to hospital by the defendants, this time unconscious and in cardiac arrest.
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Medical staff were unable to revive him.
Varley allegedly told police that Preston had accidentally drowned in the bath.
However, this account was not supported by the post-mortem examination, which identified 40 separate injuries, the court heard.
Varley denies murder, manslaughter, two counts of assault by penetration, five counts of cruelty to a child, grievous bodily harm, sexual assault of a child, 13 counts of taking indecent photos or videos of a child, one of distributing an indecent photo of a child, to his co-accused, and one of making an indecent photo.
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McGowan-Fazakerley denies allowing the death of a child, three counts of child cruelty and one count of the sexual assault of a child.The trial was adjourned until Friday morning.
The trial has been adjourned until Friday morning.
Revelstoke Road children’s home in Sunderland was praised by Ofsted for its “homely atmosphere” and carers’ “exceptional understanding” of the children.
Operated by Together for Children (TfC), the home houses six children with social and emotional needs and is one of nine homes run by TfC, which works in partnership with Sunderland City Council.
Simon Marshall, chief executive of TfC and director of children’s services at Sunderland City Council, said: “It is fantastic to see Revelstoke Road recognised as Outstanding.
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“This is testament to the dedication and understanding of the carers, who have created a safe and nurturing environment where children can thrive.
“We are incredibly proud of this achievement and remain fully committed to providing the highest standard of care and this recognition of our carers is well-deserved.”
The outstanding grade was awarded during an inspection in March, with Ofsted noting the positive relationships between children and carers as key to the children’s progress.
The report stated: “Children are thriving in this home.
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“They make excellent progress because of the close, positive relationships that they have with staff.
“Children talk about carers fondly and the home is filled with laughter.”
Inspectors highlighted the home’s efforts to help children engage in meaningful education, secure volunteering placements, part-time jobs and college opportunities.
Carers were commended for helping a young person build road safety awareness, enabling them to walk to school independently.
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Support for health needs and life-story work was also recognised as important in helping children make sense of their personal histories.
Mark Christie, manager of Revelstoke Road, said: “I’m incredibly proud of the team and the young people who live here.
“We work hard to build reparative relationships with the children, within our therapeutic model and to make sure they are listened to, supported and valued, so it really means a lot to us to see the team’s effort reflected in this latest Ofsted report.”
The system will allow passengers to tap on at a gate or platform validator at the start of their journey and tap off at the end
20:53, 30 Apr 2026Updated 20:55, 30 Apr 2026
Translink’s new tap-on/tap-off ticketing system will be rolled out to rail services between late 2027 and early 2028, the Infrastructure Minister has confirmed.
Minister Liz Kimmins was responding to a written question from DUP MLA Peter Martin, who asked her to detail the reason why ticket machines were chosen for the new Translink ticketing option at train stations and not contactless hop-on and hop-off payments.
When rolled out, the new system will operate similarly to London’s Oyster system, where passengers can tap their contactless card or device at the ticket barrier when getting on and off the train, with the best fare calculated for the passenger at the end of the day.
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“As part of Translink’s Future Ticketing System project, the introduction of contactless ‘Tap On and Tap Off’ account-based ticketing is planned to commence across the rail network in late 2027 or early 2028,” Minister Kimmins said.
“This system will allow passengers to tap on at a gate or platform validator at the start of their journey and tap off at the end, with fares and any applicable discounts calculated automatically through back-office systems. Gate and platform validator devices have already been installed at rail stations across the network in preparation for this future contactless payment capability.
“Ticket vending machines were installed at rail stations as an interim and complementary measure to ensure that all customers can continue to access rail services prior to the introduction of contactless Tap On and Tap Off payments. Not all passengers are currently able, or may wish, to use contactless payment methods.
“This includes customers entitled to concessionary travel, such as Senior SmartPass holders, yLink card holders and Half Fare SmartPass holders, as well as those who prefer to purchase paper tickets.
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“The provision of ticket vending machines, alongside gates and platform validators, enables customers to purchase or validate tickets prior to boarding services. This reduces reliance on on-train ticket sales, supports conductors in carrying out their duties, and helps to ensure that fare revenue is protected to the optimum level across the rail network.”
Red Dead Redemption 2 – Rockstar’s best? (Rockstar Games)
The Friday letters page isn’t sure what to make of the new Resident Evil movie trailer, as a reader tries to work out what Xbox’s next gen plan might be.
Games Inbox is a collection of our readers’ letters, comments, and opinions. To join in with the discussions yourself email gamecentral@metro.co.uk
Personal best People have been talking about Rockstar games that aren’t GTA recently and it got me thinking what is actually their best game? I think a lot of people would say GTA 5, at the moment, but since it’s so old I’ve kind of got sick of it and can’t bring myself to play GTA Online anymore.
But if it’s not that then the obvious answer is Red Dead Redemption 2 and I’m afraid to say I don’t really see anything else as being particularly close. L.A. Noire was only ever a novelty, they never worked out what to do in lessons with Bully, and The Warriors wasn’t a particularly good beat ‘em up.
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I could see an argument for their table tennis game but, let’s be real, it’s Red Dead Redemption 2 that’s the best thing they’ve ever done. Let’s hope that changes with GTA 6 though or otherwise this long wait will have been for nothing. Larson
Movie accurate Great preview of 007 First Light and very glad to hear that it’s looking good, as I’ve found the trailers so far a little underwhelming. GoldenEye 007 may have been a great game but it wasn’t very much like a Bond movie. He doesn’t gun down dozens of people every five minutes and while there was a more than that to the game, it’s still a shooter before anything else.
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This game sounds like it’s actually like one of the movies, where you’re doing the same sort of stuff. I particularly like the idea of just wandering around a party and listening in and chatting to people. It might not sound very exciting but it’s the sort of thing you’d see in the films but that most games would leave out or put in a cut scene. Will be keeping a close eye on this from now on. Coby
Reinventing the wheel I do agree that relying on remakes is not the way forward for Assassin’s Creed. Ubisoft are obviously trying to copy Capcom, but the thing is the old Resident Evil games, even 4, are almost unplayable nowadays with their clunky controls and retro graphics. Nobody but a hardcore fan is going to pick up 2 on the PlayStation and play it nowadays, so it needed a remake.
But Black Flag still looks fine for an Xbox 360 and while the new version will look better it’s not suddenly going to make an outdated game playable again.
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It’ll probably sell anyway, because nostalgia, but for me it’s a distraction from making the next game better. Shadows was fine but it was the setting and graphics that sold it. I don’t see anyone getting excited about witch trials in Germany like they did about being a ninja in Japan. Schnorbitz
Evil in residence I’ve seen a lot of negative responses to the Resident Evil movie trailer, but I think this breakdown by the director explains things pretty well. He basically says that he’s trying to get across the style of the game, rather than repeating any of the stories.
So you’ve got a third person camera that acts like a game, lots of sorting through drawers, and always hunting for keys and ammunition and health. So the film is doing all the things the games do but this time the hero is just a regular guy who isn’t a combat pro or anything.
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I’m not saying it’s going to work, or that it’s the best way to go, but it’s got to be a better approach than the terrible last one, which was the closest one of the films has been to the games. I’d much rather it be a good film than an authentic one, especially after having seen the latest Mario. Zeiss
A Link to the cinema Hey, here’s food for thought and I know I’m getting a little ahead of myself right now.
The Legend of Zelda movie will be out in the not too distant future. Let’s assume that there is likely to be a sequel. Only a few Legend of Zelda titles have used the same Link as the main character, hence the legend.
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If a sequel is made are they going to use the same cast or stay true to the games by having a completely different blonde-haired boy?
I told you I was getting ahead of myself. freeway 77
GC: Clearly the answer is to choose someone with pink hair.
Things can only get worse I know they weren’t expecting anything better, but those Xbox sales results are just tragic. They’re so bad I don’t understand how it could ever be turned round. I get Microsoft is mega rich and nothing that happens with Xbox is ever going to be more than pocket change to them but what is the long term plan here?
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No one’s going to buy a Project Helix, we can put that ridiculous idea to bed right now. Unless it’s half the price of PlayStation 5, but it sounds like I’ll be more like twice. They’re not making enough money from selling games, even on PlayStation 5 – although they can’t seem to get their act together on that anyway, and have things like Forza Horizon 6 come out at the same time.
So I think the theory of just sitting there waiting until video game streaming becomes big is probably the best explanation, but good luck with that. Maybe it’ll work, maybe it won’t but if there’s one thing we know Microsoft isn’t very good at it’s predicting the future.
Ultimately it doesn’t matter, since Xbox is basically irrelevant now, and to be honest, if they did give up on gaming, we’d only get someone even worse come in a try and take their place. The damage they’d done with buying up so many companies is awful but I’m sure it could be even worse. Cranston
Multiple problems Maybe I’m a bit slow but I don’t get why everyone is moaning about Sony and DRM. As far as I can tell it’s so they can check that you have a right to play that game if you have download it.
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It means you have got broadband in order to download it, so I can’t see the problem. As a download you haven’t bought the game, you have bought the right to play the game. So what’s the problem? David
GC: It took days for Sony to explain what it was for, leaving people to guess. Also, sometimes your broadband, or PS Plus, goes down.
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Indirect adaptation So that Resident Evil movie trailer was very interesting. Zach Cregger is a great filmmaker, so I don’t think there’s any doubt this is going to be the best made video game movie ever. Although the situation’s so bad I don’t even know what would be the second best, at least until Elden Ring appears.
The very obvious problem is that there’s absolutely nothing in the trailer that makes it obvious it’s Resident Evil. If it didn’t say the name I doubt anybody would make the connection. Maybe there are some Lickers or Hunters hiding just off-screen but I get the feeling there aren’t and that the monsters are all original.
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If this was a game and that was the case I’d be all for it but for a film it does start to stray into ‘What is the point?’ territory. If nothing about the film is like the games, except maybe some zombies, should it even be called Resident Evil?
But… what if the secret of making a good video game movie is to make it have very little in common with the games beyond the general concept/atmosphere. Cregger can make whatever he wants and if it’s good that would be a hell of a lot better than anything else before it. Then just slap the Resident Evil name on and he can say it was inspired by the games, while only having the most basic of similarities.
I’ll watch it because I like his previous stuff and I like Resident Evil, but I can see a lot of super fans getting upset about it because it’s not just a nostalgia fest. Focus
Inbox also-rans That Invincible VS game sounds a bit disappointing. Can I ask whether Damien Darkblood is in it as a playable character? Keyts
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GC: Sadly not.
Someone took the innards out of a Switch 2 cartridge and sold the empty plastic shell? That is so much effort to rip someone off for a few pounds. People are the worst. Jsper
The small print New Inbox updates appear every weekday morning, with special Hot Topic Inboxes at the weekend. Readers’ letters are used on merit and may be edited for length and content.
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Happy Rooms will be hosted at Middlesbrough Town Hall from July 27 to August 30, featuring 12 immersive, artist-designed rooms that explore happiness through colour, creativity and play.
The event, designed to spark imagination and fun in visitors of all ages, will include a mix of returning favourites and new spaces.
It will feature 12 immersive, artist-designed rooms that explore happiness through colour, creativity and play (Image: Dave Charnley Stella)
Rachel Willis and Lyndsey Stephenson, directors of Teesside-based Stellar Creates, are behind the project.
Ms Willis said: “This year brings a perfect mix of returning favourites and brand-new rooms, designed to surprise and delight visitors of all ages.”
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Lyndsey Stephenson said the event aims to capture what happiness really means, adding: “Happy Rooms delves into the essence of happiness.
“We want visitors to celebrate play, the great outdoors, colour, family, rest and relaxation this Summer.”
Quiet and relaxed sessions will also be available daily (Image: Dave Charnley Stella)
Happy Rooms will be open Tuesday to Sunday from 9.30am to 5pm, with entry every 15 minutes and the last admission at 3.30pm.
Briefing: What we know on the 63rd day of US-Israel war on Iran
Iranian president Masoud Pezeshkian calls the US “siege” of Iranian ports “intolerable”
President Donald Trump says the US “might need” to restart the war and that “nobody knows what the talks are except myself and a couple of other people”
UN watchdog says Iran has enough enriched uranium for up to 10 nuclear bombs if weaponised
Senior Democrat accuses Pete Hegseth of misleading Donald Trump on the Iran war
Bahrain revokes citizenship of dozens accused of pro-Iran sympathies
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