Cineverse’s marketing strategy for Macon Blair’s The Toxic Avenger has delivered more than just ticket sales it has relieved millions of dollars in medical debt across the United States.
The studio partnered with nonprofit Undue Medical Debt in a stunt that connected the film’s release to debt forgiveness. Reports initially suggested Cineverse donated heavily to the cause, with ticket sales supplementing that amount. For every $1 million the film grossed in theaters, another $1 million in medical bills was wiped away.
After three weeks in theaters, Cineverse confirmed that at least $7 million in medical debt had been forgiven, with a final figure possibly approaching $8 million once additional contributions are counted. The initiative, which cost Cineverse roughly $70,000 to implement, was hailed as both a shrewd marketing move and a timely social good.
Medical debt is crippling for American families. We’ve all experienced it, and we all know someone who’s experienced it.
said Lauren McCarthy, senior vice president of marketing at Cineverse
A Low-Cost, High-Impact Strategy
The cost to Cineverse was modest compared to typical promotional budgets. “One dollar, on average, erases around a hundred dollars or more of medical debt,” explained Daniel Lempert, vice president of communications and marketing at Undue Medical Debt.
It took us a while to wrap our heads around that math. But it was one of the most exciting parts of the process [promoting this film], hearing that all this was possible.
McCarthy added.
Medical debt, Lempert noted, is often the cheapest kind of debt to acquire and forgive.
Because the demands on people, to pay for healthcare through a copayment or a deductible, are increasing.
The Kaiser Family Foundation estimates that more than 100 million Americans currently struggle with medical debt, with a total burden surpassing $220 billion.
It’s very likely that figure is an undercount because this is a crisis that’s very hard to track. A lot of people will borrow from friends and family, and the number one reason people will do a GoFundMe campaign tends to be around healthcare debt.
Lempert said
From “Unmarketable” to Activist Symbol
The Toxic Avenger, starring Peter Dinklage, faced challenges before release. Early rumors branded the film as “unmarketable,” with speculation that its violent content was a barrier for distributors. Cineverse, which had success with its gruesome hit Terrifier 3, ultimately acquired the film and reframed its image with the Undue Medical Debt partnership.

At its core, [‘The Toxic Avenger’ is about] activism and optimism that makes the movie so charming. That’s why it’s had this consistent fandom that’s so highly engaged.
McCarthy said.
Cineverse spent under $5 million on acquiring and marketing the title. For comparison, the studio spent $500,000 marketing Terrifier 3 a sum that, if redirected, could have erased $50 million in medical debt.
I got an initial quote for a [another stunt] that could have been an option. When you think about the frivolity of what that money could do, and what we are doing instead, it puts things in perspective.
McCarthy said, describing a flash mob that would have cost at least $50,000
McCarthy noted Cineverse often relies on unconventional tactics.
We do a lot of stunts because we certainly don’t put anywhere near the budget into paid media than any other studio does. We do things that activate the community online that they really respond to. There’s been a lot of stunts. Then we rely on organic digital pickup and we amplify a bit, but we are relying on people to see the stunt, get excited by the stunt, think it’s funny, and share it with their friends, and that makes the community bigger.
Broader Impact
Lempert called the campaign a valuable case study. Social media reaction has been largely positive, with fans noting the irony that Hollywood budgets could erase vast amounts of debt if repurposed in this way.
People are finding catharsis in narratives about the healthcare system and inability to pay and who deserves access to care that helps keep them and their family alive.
Lempert said.
Undue Medical Debt previously gained attention with its 2016 collaboration on Last Week Tonight with John Oliver. Since then, it has worked with films including Buffaloed (2019) and Ordinary Angels (2024).
“It speaks to how pervasive this crisis is that we have such an eclectic roster of partners,” Lempert said. He confirmed the organization will help personalize letters that go out to patients whose debts have been forgiven through The Toxic Avenger campaign.
We’re slightly slammed, so we haven’t fully gotten there, but I’m hoping that it can be as delightful and surprising to the people receiving the letters as possible. We’re going to try to cook up something that is charming enough for them to want to talk about it.”
McCarthy said
Results at the Box Office
As of now, The Toxic Avenger has grossed a self-reported $2.9 million (with insiders estimating closer to $2.3 million). The partnership with Undue Medical Debt, while not substantially boosting ticket sales, has been widely regarded as a public relations success.
Working with Undue, Lempert emphasized, allows films to serve as “empathetic outlets.”
Discussing Americans’ everyday battles with the healthcare system can destigmatize an issue that is certainly no fault of any patients.
He added
The Toxic Avenger is set for digital release on September 30.
Source: IndieWire
