Visible crew/equipment: In the opening scene, the camera and camera man can be seen reflected in the knife.

American Psycho (2000)
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Directed by: Mary Harron
Starring: Willem Dafoe, Reese Witherspoon, Christian Bale, Jared Leto, Samantha Mathis, Chloƫ Sevigny
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Patrick Bateman: I have all the characteristics of a human being: blood, flesh, skin, hair; but not a single, clear, identifiable emotion, except for greed and disgust. Something horrible is happening inside of me and I don't know why. My nightly bloodlust has overflown into my days. I feel lethal, on the verge of frenzy. I think my mask of sanity is about to slip.
Trivia: The infamous scene where Patrick Bateman kills Paul Allen while discussing Huey Lewis and the News was recreated by Huey Lewis himself in the role of Bateman, with "Weird Al" Yankovic being his victim as revenge for parodying his song "I Want a New Drug."
Question: Did Patrick really kill anybody or was it all in his mind? He killed a homeless man but there's no news report about it on TV. He murders Paul but is told Paul is in London. He severely beat and bloodied two prostitutes but no cops show up to arrest him. He murders Elizabeth and Christie but when he goes back to the apartment later, it is empty and put up for sale.
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Answer: The situation is intentionally left vague. The homeless man being murdered wouldn't necessarily make the news in the time (there were over 4000 murders in 1989-90 when the book and movie are set). He and his friends are so alike that they continually mistake each other for others. The prostitutes would likely be loathe to call the police because they might be arrested themselves and he would likely get off with a much better lawyer.
Greg Dwyer