In the 1980s, he created a number of images inspired by both real-life and fictional serial-killers, including Jack the Ripper, Ed Gein and Hannibal Lecter.
In the film Hannibal Rising, the character of Hannibal Lecter shows up in the "hamlet of Melville" in the final scene of the movie.
In popular culture, tapping was used in the film Red Dragon as a way for prisoner Hannibal Lecter to dial out on a phone with no dialing mechanism.
Dr. Hannibal Lecter (tenor) – A brilliant psychiatrist and cannibalistic serial killer who helps Clarice out in her investigation and eventually escapes prison in a bloody massacre.
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The original NY cast included Brent Barrett as Hannibal Lecter, Jenn Harris as Clarice, Stephen Bienskie as Buffalo Bill, Deidre Goodwin as Ardelia Mapp, Jeff Hiller, Howard Kaye as Papa Starling, Lucia Spina in a dual role as both Senator and Catherine Martin, Callan Bergmann as Jack Crawford, Harry Bouvy, and Ashlee Dupré.
In the Guardian, Gareth McLean noted that "Richard Littlejohn lecturing on the evils of bigotry is akin to Hannibal Lecter advocating vegetarianism."
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She also portrayed the Russian Tsaritsa Imperatritsa Aleksandra Fyodorovna Romanova in the 2003 British mini-series The Lost Prince, and was mother to Thomas Harris's fictional cannibal and serial killer, also known to be of Lithuanian origin, Hannibal Lecter, in Hannibal Rising (2007).
In the 1980 novel Red Dragon by Thomas Harris, it is mentioned that Will Graham was tipped off to the fact that Hannibal Lecter was a murderer from this diagram, and a further reference to the diagram is made by the character Clarice Starling in the sequel novel Hannibal.
He appeared as Hannibal Lecter's father in the 2007 Hannibal Rising film.