Fessenden has operated the production company Glass Eye Pix since 1985.[4] Fessenden regards the old Universal Monsters as a substantial influence for him.[5] In a review of Fessenden's film Wendigo (2001), Dave Kehr of the New York Times stated, "The independent filmmaker Larry Fessenden has set himself a challenging project: to approach the themes and thrills of the classic American horror movies through a determinedly modern approach, as if John Cassavetes had been working for Universal in the early 30s."[6]
As an actor, screenwriter, director and film editor, he has worked, in addition to feature films, on such television projects as the NBC horror anthology Fear Itself (2008), directing the episode "Skin and Bones". He wrote the screenplay of Orphanage (2007) with Guillermo del Toro, an English-language remake of El Orfanato.[7]
In 2010, Fessenden partnered with Glenn McQuaid to launch Tales from Beyond the Pale, a series of macabre audio dramas[8] now available as a 47 episode podcast. In 2011, he released his third rock album with the band Just Desserts, an on-going partnership with songwriter Tom Laverack.[9] In 2012, he executive produced and was interviewed in the documentary Birth of the Living Dead, which examines the legacy of Night of the Living Dead.[10] In 2016, he produced, acted, and served as cinematographer in his son Jack's feature debut, Stray Bullets.[11] The same year also saw Fessenden release a book titled Sudden Storm, A Wendigo Reader.[12]
Fessenden has also established a strong presence in the video game world. In 2015, he and Graham Reznick collaborated on writing the video game Until Dawn. Fessenden also played the role of a mysterious stranger armed with a flamethrower in the game itself.[13] The game earned positive reviews and would go on to receive the "Original Property" award in the 2016 BAFTA Games Awards.[14] Fessenden and Reznick also set a Guinness World Record for "Longest script for a graphic adventure videogame," with their script reaching 1,000 pages.[15] The two writers would team up again in 2016 to develop a spin-off game known as Until Dawn: Rush of Blood,[16] and later in 2018 for the Until Dawn prequel, The Inpatient.[17]
Fessenden has run the company Glass Eye Pix since 1985 with the mission of "supporting individual voices in the arts." Glass Eye Pix continues to nurture young talent, most recently producing the debut features of Robert Mocker (Like Me, starring Addison Timlin and Fessenden), Ana Asensio (Most Beautiful Island), and Jenn Wexler (The Ranger).[18]
Fessenden's Frankenstein-themed feature, Depraved, which he wrote, directed, edited and produced, was released on Friday the 13th of September, 2019 through IFC Midnight.
His werewolf film Blackout premiered at the 27th International Fantasia Film Festival in July 2023.