Anxious and dedicated, Ti West’s Pearl is a brutally loyal exploration of isolation and madness wherein genesis and exodus are unsure which started what. Mia Goth levels heaven and brings up the hell with a performance in so much local pain that what lands becomes less alien the more it invades. For all its blood and baptism, West is careful what is shown, and there is one scene so brave and so held by Goth that it unglues the eye and something in every body seems to rip on its own. Sickness is here, but has nothing on sadness.
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