Blood Dolls (1999)

Virgil Travis, a wealthy, soulless psychopath lives in seclusion in his mansion home with his dwarf butler and maniac right hand man. Tortured and forcibly mutated as a child, he has an abnormally sized head.
Basking in the suffering, degradation, pain and death of others, Virgil kills for perverse amusement. Eventually, he meets his match in the form of a woman who ...