A young man has a possible fetish for having his nipples twisted/mutilated. In one scene, two girls sensually tear out his nipple rings to his enjoyment.

A man has his girlfriend tie him up and spank his rear end continuously. The man gets an orgasm out of this.

There are back-to-back flashes of two different couples having sexual intercourse.

In different scenes of the film, the same sexually-interactive couple is seen making out or even having sex. At one point, they are in a car, where the boy puts a piece of chocolate in the girl's vagina (this is implied and not graphic or even seen). The girl seemingly gets an orgasm out of this, and the boy proceeds to perform oral on her (he puts his head down onto her lap, and it cuts to another scene right after he says "I just love the milk chocolatey goodness" and the girl moans in a sexual way).

A teenager watches a video that he took of his girlfriend; in the video, he asks her to take her shirt off. She lifts it up, and the video stops right before her breasts show.

A character has three sexual fantasies at once: in one, he is having sex with his girlfriend. In another, he is being tied to a chair and whipped by two apparent lesbians with european accents. In the third one, he is having a romantic moment with a boy while they both change in a locker room. They are about to kiss, but the it cuts before they do.

A character is shown to have committed suicide; she is shown collapsed off the side of her bed (legs sticking straight up), and blood is splattered all over her bedroom.

Many drug references, including references to speed and crystal meth.

Underage characters smoke cigarettes, take ecstasy, and drink alcohol.

In an intense and somewhat distressing sequence, a character has a coughing attack. His body bursts open (offscreen), which causes the room to get covered in blood splatter. And a giant insect appears.

There is a weird and random appearance by a scary clown/zombie man holding a dead dog.