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Otis is the true main antagonist in the controversial horror film Henry: Portrait of A Serial-Killer and accompanied the titular Henry on his many murders as a perverted observer and participant in some of Henry's most vile crimes: although the film is fictional the character of Henry (and some of the crimes depicted) have basis in reality as heavily altered depictions of the crimes of the infamous Henry Lee Lucas.

Otis was a perverted and disturbed man who happily helped Henry torture, kill and even rape his victims while also video-taping some of their horrific crimes for his own enjoyment - unlike the emotionless Henry, Otis was driven by sexual depravity and sadism.