Mostly practical effects, which are generally well-regarded for a low-budget film.

It is reported to have a slow second half, with the narrative sometimes shifting to family drama over the horror elements.

Here is a review summary based on critical and audience feedback for the Blu-ray release:

After a major earthquake, Danny (Joseph Almani), a police officer, becomes trapped under a vintage car in a remote garage, while his Uncle Bill (Michael Paré) is killed. As he tries to survive, he discovers large, venomous, subterranean worm-like creatures have emerged from the fissures and are attacking him. What to Expect Genre: Claustrophobic creature feature/thriller.

Opinions are mixed, with some finding it a fun "popcorn flick," while others find it a slow and forgettable entry. Key Takeaways They Crawl Beneath (2022) - IMDb

Primarily set in a single, dark garage, creating high tension in some scenes.

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