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Shadow of the Bat #1- Victor Zsasz as created by Alan Grant & Norm Breyfogle (yes, another one). This one is definitely inspired by Hannibal Lector, amongst other knife-wielding, self-mutilating lunatics.
Gotham City produces quite a few mass murderers, quite a few serial killers. H
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Unlike Amygdala who was featured earlier this week, Zsasz has crossed over into Batman world beyond the comic and I think that's usually the sign that a Batman villain needs to do to become Premier League. This villain makes it onto Batman Begins (not as a the crazed serial killer, but as sadistic mob muscle) and all of the scars were there for all to see. He also appears as a villain in the totally awesome video game Batman: Arkham Asylum.