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An art director for British television in the late '50s, Fuest became a director of programs and commercials in the '60s and by 1967 wrote and directed his first theatrical feature, Just Like a Woman. He specialized in horror during the '70s, most notably with the psycho-killer thriller And Soon the Darkness; the stylish Vincent Price revenge tale The Abominable Dr. Phibes and its sequel (which he also co-scripted), Dr. Phibes Rises Again; the apocalyptic science-fiction satire The Final Programme, which he also scripted; and the occult chiller The Devil's Rain. In the '80s he helmed the science-fiction sequel Revenge of the Stepford Wives for American television, and the theatrical feature Aphrodite.