"Spill Your Guts" is a dark-humored ventriloquist show about an intestine gone haywire. Part healthy, part sick, Hendrik Quast takes the stage alongside a sharp-tongued puppet that embodies his illness—a chronic, invisible, inflammatory force—forming a dysfunctional double act that turns against him. Through a blend of theater, comedy, and musical elements, Quast spars with his puppet over shame and what gets flushed out into the open: stories of undigested remnants, the healthcare system, outrageous anecdotes about illness, and invisible disability.

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