Spiegel grew up in Birmingham, Michigan. He attended Walnut Lake Elementary school and then went on to attend West Maple Jr. High School. It was here that Scott met Sam Raimi and Bruce Campbell. Spiegel worked at the local grocery market across from Walnut Lake Elementary School.
When Spiegel first moved to Los Angeles, he shared a house with film directors Raimi, Joel Coen and Ethan Coen and actresses Holly Hunter, Frances McDormand and Kathy Bates. He shared yet another house with roommate and film editor Bob Murawski (Spider-Man). In the early 1990s, he introduced film director Quentin Tarantino to producer Lawrence Bender, who helped Tarantino get Reservoir Dogs made.
In 1999, Spiegel directed the direct-to-video sequel From Dusk Till Dawn 2: Texas Blood Money. Spiegel formed the production company Raw Nerve with film directors Eli Roth, and Boaz Yakin. Raw Nerve produced the film Hostel (2005), directed by Roth.

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