The 12th annual Screamfest LA horror film festival came to close Saturday night with the announcement of its Skully Award winners at a closing night party held at Trader Vic’s in Downtown Los Angeles Top honors went to twin directors Jen and Sylvia Soska for their underground surgeries frightener American Mary.

American Mary (Best Picture, Best Director) tells the story of a broke and bored med school student who starts to work the underground surgeries circuit for profit and thrills. Katharine Isabelle was named Best Actress for topling the film, which also won awards for Best Cinematography and Makeup.

Peep the complete list of Screamfest LA 2012 winners below:

BEST PICTURE: American Mary

BEST DIRECTOR: Jen & Sylvia Soska – American Mary

BEST ACTRESS: Katharine Isabelle – American Mary

BEST ACTOR: Pierre-Francois Legendre – Fear of Water

BEST HORROR – COMEDY: Killer Kart

BEST MUSICAL SCORE: Jamie Blanks – Crawlspace

BEST STUDENT SHORT: Eaglewalk

BEST ANIMATED SHORT: Post Human

BEST SHORT: Incident on Highway 73

BEST MAKEUP: MastersFX – American Mary

BEST CINEMATOGRAPHY: Brian Pearson– American Mary

BEST SPECIAL EFFECTS: Justin Dix – Crawlspace

BEST SCREENPLAY: The Gaslamp Horror/ Jeremy D. Christensen

BEST EDITING:  Marc Steinicke – On Air