Dr. Hannibal Lecter's Florentine alias, Dr. Fell, is taken from a rhyming epigram by seventeenth century English satirist Thomas Brown: "I do not love thee, Dr. Fell; The reason why, I cannot tell. But this alone I know full well: I do not love thee, Dr. Fell." The alias is also a reference to "The Silence of the Lambs" novel, where Jame Gumb (Buffalo Bill) lived on Fell Street. Dr. Fell could also be a reference to the 1979 play "I Do Not Like Thee, Dr. Fell" by Irish playwright Bernard Farrell, which parodies American psychobabble, or it could refer to Room to Let (1950), where a new tenant in 1904 London, named Dr. Fell, is suspected by his neighbors of being the infamous Jack the Ripper.

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