Jigsaw is back to his old grisly tricks in this latest installment of the venerable horror franchise.

Admit it, you kinda missed Jigsaw.

To explain for those unfamiliar with the franchise, Bell’s character John Kramer, who was nicknamed Jigsaw for grisly reasons which need not be explained here, died at the end of Saw 3. But that didn’t keep the films’ producers from bringing him back in future installments in the form of flashbacks and recordings. They’ve now gone backward in time for this film, which takes place between the events of Saw and Saw II. Hope you got all that, because there’ll be a test at the end of this review.

When he later runs into a fellow group member (Michael Beach) who has made a remarkable recovery, Kramer finds out about a life-saving treatment devised by a Norwegian doctor that naturally hasn’t been approved in the U.S. So, after contacting the doctor’s daughter, Cecilia (Synnove Macody Lund), who’s taken over the practice, he heads to Mexico and undergoes the supposedly life-saving surgery at a secret clinic outside Mexico City.

It all turns out to be a scam, of course, with the doctors, nurses and even the driver who picked Kramer up from the airport all part of the con. And if there’s one person you don’t want to con, it’s John Kramer, who soon turns the tables on all of them by capturing them and subjecting them to his very particular brand of gamesmanship. Aiding him in his efforts is his trusted apprentice Amanda (Shawnee Smith), who was at this point still his trusted ally. (That both Bell and fan favorite Smith are many years older than when they originally played their characters in this time frame is just something you’ll have to get over.)

It takes a little longer than usual, but Saw X eventually gets around to its true raison d’etre, which is depicting in gory detail the ways in which Jigsaw’s victims either succeed or fail at extricating themselves from the gruesome, Rube Goldberg-style death traps he’s devised for them. It usually involves having to make horrible choices, such as (in this film’s case) having to saw off your legs to prevent yourself from being decapitated, breaking your arm and foot to stop yourself from being irradiated to death, and cracking open your skull and removing your own brain matter to … well, you get the idea. This is the sort of horror film in which a character using someone’s intestines as a lasso is simply par for the course.

None of this would work nearly as well without Bell, whose raspy voice and menacing gravitas are so riveting that he makes Jigsaw’s oft-repeated declaration “I’d like to play a game” scary as hell. He’s made the character truly iconic, much like Robert Englund did with Freddy Krueger. Accept no substitutions.