The most significant achievement of the film is its central twist, which subverts the audience's expectations of a typical prequel.

Despite its silly and "wild" script, the film maintains a high technical standard that anchors its more outrageous moments.

: Unlike the first film, where only Fuhrman seemed to understand the "deranged" nature of the character, the sequel features a cast—including Julia Stiles and Rossif Sutherland—that is fully "in on the joke".

While the original Orphan was a relatively straightforward psychological thriller, First Kill operates with a distinct "USA Up All Night" B-movie energy.

: Isabelle Fuhrman returns with a "calm, cool, and collected" performance that recaptures the character's menace while heightening the absurdity of a grown woman masquerading as a child. The Mid-Point Subversion

Ultimately, Orphan: First Kill is a rare example of a horror sequel that improves upon the original by understanding its own inherent absurdity. It honors the legacy of its overnight horror icon without turning her into a "crude caricature," providing a "helluva a good time" for fans of the genre.

: Reviewers have noted the "appropriately atmospheric and spooky" lighting and cinematography, which help the family home feel like its own character.