The creator of a divisive body horror opera that left audience members needing medical attention has brought out a new production featuring sex acts, blood and an actress with dwarfism playing a naked Nazi doctor.

Choreographer Florentina Holzinger, 39, is famous across the German-speaking world for her radical works, which usually feature nudity, dangerous stunts, unsimulated sex and physical violence.

She staged Sancta in October last year, describing the show as a 'feminist mass' and angering Christians with its provocative depictions of Jesus and the Pope and naked nuns roller-skating.

Now the controversial choreographer has produced her new play, 'A Year Without Summer', which once again, is not for the faint hearted.

'In my new show, I portray monsters from medical history,' Holzinger explained to German news outlet RBB. 'Who are the people who exercise control over the female body? What is happening in the service of scientific and medical progress?'