Severe.

A girl has a large, dark birthmark covering half her face and body (including genitals). She doesn't want anyone to see it for fear of being ridiculed. A guy has footage of her stripping naked and sets it up to play over a college campus' TV sets. She goes home after being humiliated and starts to scrub her skin with bleach and Brillo pad. She's seen stumbling down a hallway, naked and bleeding. (Full frontal nudity.)

A girl is revealed to have been molested by her father as a little girl.

A girl is modelling for an art class. (She's completely naked)

A guy is seen in the shower. (His bare back and buttocks are seen)

A man is giving oral sex to a girl. She bites her lip in pleasure.

A striptease scene shows a few girls dancing fully nude. (Long scene)

A man and a woman are having sex. (Bare breasts are seen and passionate moaning is heard.)

The movie contains some strong scenes of sadistic violence.

A guy's brother died in a car crash when he drove home drunk.

A guy is knocked unconcious, chained to a radiator and has a gun fired next to his ear, making him deaf.

A girl is shown scrubbing her skin with bleach and a brillo pad. She's seen stumbling down a hallway, naked and bleeding.

A man sees cuts appearing on a girl, the longer he watches, the more cuts appear.

A guy is knocked out and tied to a chair. He's shown video footage of a girl being tortured.

A guy is hit with an axe.

A guy is shot in the back of the head.

A guy stands over a mortally wounded guy as he bleeds out.

Profanity including many uses of 'fuck'.

Smoking.

Some drinking and driving.

Some disturbing scenes. The movie's theme is about people's greatest fears and how a school project goes wrong.

A girl is seen scrubbing her birthmarks with bleach.