Women's breasts are seen in a fictional horror movie.

A woman is sexually assaulted offscreen , the sounds of her struggling and screaming are heard.

A fully nude man with a large erect penis walks into a room where someone is tied up. He leaves to kill someone offscreen and returns covered in blood , his penis is now flaccid but still large and clearly visible.

A masked killer uses the severed heads of women to pleasure himself (no nudity)

This film contains graphic violence and gore, including multiple graphic murders and dismemberment, as well as offscreen (audible) murders. Most of the violence is witnessed by a child character and at one point a child character is bound and gagged. Other points of violence and gore include an assault with a shovel to the head, vomiting, a killer bathing in blood (and then having vigorous sex with a severed head), and intense physical violence among family members (child abuse and offscreen rape).

This film contains a great deal of profanity, including many instances where profane words are said by minors.

The film contains themes of racism and homophobia, multiple uses of the words faggot and nigger.

One character smokes a cigarette in a scene and a couple of scenes contain marijuana paraphernalia.

Suggested MPAA: Rated R for strong disturbing bloody violent content and grisly images, gore, strong graphic sexual content including an assault and full frontal nudity, language and drug use.