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It doesn't get much more twisted than this 2003 show on FOX, which took eight women who were deemed unattractive and gave them "extreme makeovers" (including plastic surgery, dental work, and physical training).
The contestants weren't allowed to see themselves during the three-month taping, and only when they were unveiled in the finale "pageant" were they able to look in a mirror. The winner was awarded cash prizes, a car, a vacation and more.
What's even more shocking? The show was renewed and aired for a second season.