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Love and misery intertwine to the point of strangulation in the delectably creepy “Passion” (music and lyrics by Stephen Sondheim, book by James Lapine) now playing in the appropriately claustrophobic confines of the Custom Made Theatre.

By misery, I mean not only the emotional distress that emerges in a twisted romance between Giorgio (John Melis), an urbane Milanese army captain dispatched to a remote mountain outpost, and Fosca (Heather Orth), a mentally unstable “collection of many ills” and orphaned cousin of Giorgio’s commanding officer, Colonel Ricci (Domonic Tracy). I also refer to the movie adaptation of Stephen King’s novel.

You see, Fosca is Giorgio’s number one fan. And like Annie Wilkes, the character played by Kathy Bates in “Misery” she’s relentlessly bent on winning over the man she fancies. Yes, there are plenty of differences in the pieces’ plotting and themes; but the horrifying, can’t-look-away power of the lead female performances are what stick with you long after you hobble away from your theater seat.

Heather Orth’s take on Fosca is a cringe-inducing mixture of frailty and ferality. With hair pinned back to accentuate her pale-powdered oval face, deep set eyes and vertical slash of a nose, Orth resembles a barn owl: Shivery and recessive as she eavesdrops on the mens’ encampment beneath her sickroom window, she’s actually primed for predatory action. She’ll repeatedly sink her talons into Giorgio, physically and psychologically.

After the soldier politely rejects her affections, explaining that he has a mistress in the city, Fosca asks—begs—him to love her as a sister. But when Giorgio indulges her wishes and kindly takes a seat at her bedside, she clutches his face with both hands and greedily plunges in for an aggressive hybrid of tongue kiss and head butt. The moment is so effectively played by both actors that I recoiled in my seat, palpably sensing Fosca’s violation of boundaries and her compulsive rejection of propriety.

Following through on her amorous obsession with episodes of self-harm and stalking, Fosca’s drive is so relentless it leaves id marks on her quarry. Apparently, Giorgio is ultimately so flattered—worn down?—by Fosca that he succumbs to her pursuit. His motivations are not entirely clear, partly due to Melis’ greater strength as a tenor than an actor, but primarily because the script and lyrics insist that there’s an irrepressible, illogical wildness within us all while only strongly demonstrating this trait in one character among a cast of twelve.

Oh yes. Its not that I forgot to mention the show’s ten other solid performances, its just that—with the exception of Clara (Julianne Lustenader), Giorgio’s orderly, married mistress who schedules appointments for sex and utterly lacks the show’s titular quality—their characters feel like inessential embroidery on a two-person chamber opera. This effect is heightened by director Stuart Boussel’s awkward maneuvering of the troops on and off of the theater’s tiny stage.

It’s easy to understand that the military, with its dull routines and “uniforms, uniforms, uniforms” is emblematic of buttoned-up societal mores. But sometimes less is more, and it might have been more effective for Boussel and musical director Brian Allan Hobbs to pare down their acting corps as they did with the instrumental accompaniment: Rather than a full orchestra, we get a potent, emotive three-piece onstage combo highlighted by cellist Ami Nashimoto, luxuriant in her sound but admirably stoic in her constant upstage center presence.

Lyrically, “Passion,” which was adapted from the 1981 Italian film “Passione d’Amore” is among Sondheim’s least cerebral efforts, without much of the witty wordplay he’s admired for. But that’s in keeping with the primacy of unalloyed emotion at the show’s center. Likewise, the lack of discrete compositions (There are no song titles), suggests a continuous, if vacillating, state of being. Musically, it’s a stunner, alternately plangent and urgent with themes surfacing and receding throughout the score—insistent notions refusing to be repressed.