- The film is a prequel to the 2009 film Orphan, based on a story by David Leslie Johnson-McGoldrick and Alex Mace.
- In February 2020, the project was announced under the working title Esther. In November 2020, the film’s official title was announced as Orphan: First Kill, with Isabelle Fuhrman reprising her role as Esther. Fuhrman is the only cast member from the original movie to return.
- Principal photography of the film began in November 2020 in Winnipeg, Canada, and wrapped on December 11, of the same year.
- Orphan: First Kill premiered first in other territories starting in the Philippines on July 27, 2022. The film was released simultaneously through limited theatrical release, video on demand, and on Paramount+, on August 19, 2022.
- The film received mixed reviews from critics, who praised the film’s twists, practical effects (in regard to de-aging Fuhrman without CGI) and Fuhrman’s performance, but criticized its story and inconsistencies.
- Orphan: First Kill grossed $5.4 million in the United States and Canada, and $38.6 million in other territories, for a worldwide total of $44 million.
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