"As a horror picture plain and simple (though Midnight Meat Train is too convoluted to be called simple), there's certainly no reason to complain here. The film delivers the goods in terms of graphic, bloody and quite brutal horror. This is one of the bloodier films in recent memory, and yet it is never goes into the area of torture porn. The film doesn't linger over pain for its own sake and isn't in the least sadistic in the manner of so much that passes for horror these days. Oh, it's nasty enough—make no mistake. This is not a film for the squeamish, and I can easily imagine people who would be offended by its in your face bloodiness. I can also imagine a good many viewers who would be turned off by its occasional outbursts of dark-hued splattery comedy, especially the fate of the Jurgis character. Put bluntly, if bloody horror and the occasional flying eyeball aren't your flagon of grue, this isn't your movie." - Ken Hanke, Mountain Xpress