A dead woman's breast can briefly be seen through a sheet of plastic. Not sexual.

A man watches pornography and is implied to be masturbating. As the man watching stands up, his butt is briefly shown.

A man attacks a young girl and undresses her until he is interrupted. No nudity.

Another woman's breast is briefly seen right before she is implied to have been killed.

A man is seen eating raw bloody human flesh. His fridge contains many body parts. This is very disturbing and grisly.

People get beaten on the head with iron pipes, stabbed, beaten to near death.

A man smashes another guy in the groin with a wrench multiple times, it is shown up close. Brief but very brutal.

A man sticks his hands into another mans mouth and rips his mouth open. You see the side of his mouth tear up and blood pours out.

A man gets kicked and then gets his head violently smashed against a giant rock multiple times.

Strong disturbing brutal grisly violence.

Two people are stabbed dozens of times with a small blade. A very prolonged, bloody, and graphic scene.

A man is hit in the face with a dumbbell. A bloody wound shown above his eye. Very brutal.

A woman is hit on the head a few times with a hammer. Some blood on both people's faces. Her body leaves a bloody trail.

A woman is hit in the head with a blunt object. Some blood sprays on a screen and drips out the woman's wound.

A man dismembers a dead body mostly off-screen. The bloody butchered corpse is then seen from a distance as the killer throws a severed arm into a bin. Though not completely shown, the sheer implication and sound effects are very grisly and brutal.

A woman is decapitated offscreen. No sounds heard aside from the guillotine.

A man's motorcycle is hit with a car while he flies off and is beaten.

A villain's achilles tendon is severed with a scalpel in close-up. This is EXTREMELY graphic, bloody, and gruesome.

A character is bloodily stabbed through the cheek with an icepick.

A villain is hit repeatedly on the head. Some blood shown.

A character is hit repeatedly on the head and upperbody. Bloody wounds seen.

A character's wrist is broken.

A character's hand is nailed onto a table.

'B*stard' is said.

'Hell' is said.

'Damn' is said.

'Shit' is said.

'B*tch' is said four times.

Characters smoke cigarettes.

Some smoking of cigarettes.

Scenes of rape and attempted rape.

One of the most brutal and disturbing films of the century so far. The violence is relentlessly graphic and grisly.

Rated R for Strong disturbing brutal violence throughout including rape and torture, grisly images, aberrant behavior, strong language, and nudity.

The antagonist is a profoundly depraved man-violent, aberrant, and predatory. A rapist and sadist, he stands among the most terrifying and disturbingly evil villains ever brought to the screen.

This film could easily enter NC-17 territory for the violent content alone. It's an intensely disturbing and heavy watch that should be approached with great caution, even for adults.