He was in the film Batman Begins as one of the crazies (Victor Zsaz)
He is one of the first to leave his cell in the Arkham breakout prompted by Ra's Al Ghul (when he leaves his cell and looks away from the camera the marks on his neck are clear), and he almost kills Assistant District Attorney Rachel Dawes (Katie Holmes) with his knife. Batman saves her by punching Zsasz in the head, but he is still at large by the end of the film.
He is the only villain in the movie not to speak (save for a grunt of pain when Batman hits him), although he does so in the graphic novelisation of the movie, which features a cameo of Zsasz breaking out of Arkham, followed by another cameo as he attacks Dawes. Strangely, his scars are not visible, although his age lines are. The drawing is clearly based on Booth. The tie-in book featuring the development art, and the visual guide to the film, also feature a shot of Booth in costume, referring to Zsasz as a serial killer.
In the acompanying video game, Zsasz appears chained to a wall while Detective Flass asks him what Crane is planning. The dialogue here (provided by Booth) seems to make it clear that, at least in the game, Zsasz is genuinely insane. Zsasz later threatens Rachel, as in the movie, but she takes advantage of Batman's appearance to taser him while he is distracted. The game explains his trademark scars and says that he's "running out of room."
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