The concept of "Melancholie der Engel" has influenced various art forms, including:

Melancholie der Engel is not a horror film. It does not seek to frighten you with jump scares or suspense. It seeks to sicken your soul. It is a two-and-a-half-hour immersion in human and animal suffering, filmed with the cold precision of a clinical pathologist and the aesthetic eye of a fallen Romantic painter.

Yet, within the micro-niche of "extreme cinema" collectors, the film is a holy grail. The German "Uncut" DVD release (often sold for hundreds of dollars on the secondary market) is a prized possession. Fans argue that the film is not meant to be "enjoyed" but experienced —as a psychological endurance test that asks profound questions: