I'll be honest: I watched this film because I adore Brad Dourif, and I'm happy to say this film shows him doing his best thing - shouting "No!" and curling into an agonized ball. Well done. I am satisfied.
As a horror film, this movie is creepy enough, I suppose. People act violently, unkindly, and unpredictably. Truly, though, Last Kind Words was much more deeply tragic than frightening. The pace was slow, and the scenery artistic. The whole thing just felt so sad. All the misery, the pathetic lives, all the perpetuated violence, made the film feel whistful, and heartwrenching. It was too gentle (in plot progress, if nothing else) and too human to frighten me. It reminded me of lynch photography (for obvious reasons), and struck me not for its supernatural/unnatural danger, but for its entirely understandable, if sometimes overwhelming, pain. As Sam Winchester says once, "they're just people!" And people do horrifying things to other people. And it breaks our hearts, but it doesn't have the same effect as slinging around gallons of fake blood.
I have to give this film extra points for the creation and maintenance of a simple, usable, and believable mythology.
It was surprising, and worth time and attention. It's a little clunky, but probably underrated nonetheless.