This film wowed me with it's moments of sheer nastiness, The sheer third world ugliness of the island gives everything a good grim basis for the over the top gore to work. The plot is basically an excuse for Fulci to pull out his bizzare gory set pieces which are incredibly impressive and some funny low key moments like when the head of the hospital is seen getting drunk on top of a hill like some hobo. The review before got me thinking about this vs scream and I think it should be said that movies like this and Suspiria are really just as flashy and shallow as "I know what you did last summer." It's just that Fulci and Argento have a lot more style. So you can't really see them as an alternative to scream as much as George Romero or "The Texas Chainsaw Massacre." which work as art with a social commentary as well as hideous style
