Brief nudity as a man is seen undressing.

A character shoots an old lady, the body isn't shown.

A character tries to strangle a woman with a shoelace.

A character tries to run over a group of elderly people and children with his car..

Some people are shown smoking.

Alcohol is shown.

Includes psychological terror and aberrant behaviour.

Rated R for brutal disturbing violent content including bloody images, and aberrant behavior.