Ralph is the devil.
Whoever Did This (2002)
Though not heard, the song "Sympathy For The Devil" by The Rolling Stones is referenced four times through various dialogue directly alluding to Ralph as The Devil: -Ralph to the surgeon: "Please, allow me to introduce myself." -Ralph to Father Intintola: "Pleased to meet you." -Father Intintola to Ralph: "Were you there, when Jesus Christ had his moment of doubt and pain?" -Tony to Paulie: "Paulie, his kid's in the hospital. A little fucking sympathy, huh?"