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i think only the people that touch the box are affected by the cenobite world. the people that frank was consuming-- he killed, but i think they just had a normal death, they weren't being sent to the cenobite world because they didn't interact with the box. this explains why the daughter goes missing when she's in the hospital as she's taken to the cenobite world, and no one else sees or hears cenobites in the hospital. however, i don't know how her boyfriend saw the cenobites, i think that might just be a plot hole. this movie isn't really that great, it's prone to major plot holes, so don't expect any explanation to these things to make perfect sense. Edit
As Clive Barker wrote "The Hellbound Heart" with the intention of adapting it into a screenplay, there are very few differences from the novel:
* In the novel, Frank's brother is named Rory. In the film, he is named Larry.
* In the novel, Kirsty is a friend of Rory's with a crush on him, but is too shy and introverted to act on her urges, which she instead sublimates by trying to catch Julia being unfaithful.
* Perhaps the biggest difference is that the role of the lead Cenobite is shifted from Butterball in the novel to Pinhead; although the characters have no names, the primary Cenobite in the novel is described as having stitches through its eyes, just as Butterball's are in the film. Pinhead is depicted as a lesser Cenobite who speaks in a high-pitched voice compared to that of "an excited girl."
* Also, the Cenobites are much more amoral in the book; they initially offer Frank the chance to turn them down, warning him that the "pleasures" they can offer him may be beyond what he can endure. However, they do later attempt to take Kirsty against her will and honor their agreement to leave her alone if she delivers Frank to them.
* The novel ends with the Engineer- presented as a man with a glowing head- naming Kirsty the new puzzle guardian and charging her with looking after the box until its next "owner" comes along. Edit
Yes. On set, Clive Barker and Doug Bradley discussed the monsters' backstory and decided they had been human at one time, although they did not decide on any concrete backstory for Pinhead or any of the other Cenobites. The idea was not presented onscreen until Hellbound: Hellraiser II (1988), in which Kirsty learns that the Cenobites used to be people, and that Pinhead in particular was a World War I captain named Eliot Spencer. Edit