In a voice-over, Madonna confesses that the only thing keeping her from "slashing my wrists" is the thought of returning to North America and performing the show as it is meant to be. Because of this, she and the dancers switch their tour costumes for warmer attire. Madonna did not realize that it was rainy season. In a flashback to April 1990, the tour is about to kick off in Japan. Madonna reminisces in her hotel room about the tour and how its completion would affect her later. The film begins on August 6, 1990, the day after the final show of the Blond Ambition World Tour in Nice, France. It has also had an impact on reality television and celebrity culture, inspiring parodies and other music-related documentaries. Truth or Dare has been noted as a groundbreaking film for its casual portrayal of homosexuality, and was compared to the documentary Paris Is Burning (1990). With a worldwide gross of $29 million, it was the highest-grossing documentary of all time, until Bowling for Columbine surpassed it in 2002. Madonna was nominated for a Razzie Award for Worst Actress. It opened to positive reviews, although certain scenes, such as one where Madonna visits her mother's grave, were criticized. It was screened out of competition at the 1991 Cannes Film Festival and was given a limited release on two weeks later, it had its worldwide release. The film was edited to be in black-and-white, in order to emulate cinéma vérité, while the performance scenes were edited to be in color. Madonna funded the project and served as executive producer.
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Initially planned to be a traditional concert film, Keshishian was so impressed with the backstage life that he persuaded Madonna to do a full film focusing on that.
Madonna approached Keshishian to do an HBO special on the tour after watching his Harvard senior project. Madonna: Truth or Dare (also known as In Bed with Madonna internationally) is a 1991 American documentary film by director Alek Keshishian chronicling the life of American entertainer Madonna during her 1990 Blond Ambition World Tour.