All of the sex is violent. Almost all of the scenes revolve around sex.

--Montage of porn pictures and films. --Genitals shown in closeup after urination. --Genitals clearly outlined in white briefs. --Two men rubbing a third who is nude. --Talk about body fluids and smells. --One character is a gay-for-pay porn star/prostitute. Several others are offered money or drugs for sex. --Licking skin, exchange of spit in closeup. --S/M scene in bondage gear includes back male nudity. --Scene on a porn set filming a B/D film. Director performs anal sex on an actor. --A man caresses another mans crotch through underwear. --A man wipes semen off his chest. --Proposition to rim a male prostitute (includes full frontal nudity). --Shower scene nude from behind. --A man pushes a bill into a mans rectum. He pushes a bill into the man's mouth while having sex with him. --There is a barebacking scene (not explicit). --A woman pulls two different men's pants down in two different scenes with a close up of genitals. --A man describes in graphic detail having sex with and eviscerating an unconscious man. --Closeup of genitals as a man pulls another man's pants off. --Three naked men make out (shown from the waist up).

Almost all of the violence is sexual. Most of the scenes include violence, either described or depicted.

--Two scenes involve snuff photos. --There is a bloody bathtub and shower curtain at a party. --Blood on the face of a victim being dragged away from broken glass. --A man handles a clean leg bone. --A cigarette is put out on a man's palm in closeup. --A naked man punches another in the buttocks. --Murder of a bound man with a knife. --A bottle shattered over an unconscious man's head. --Closeup of washing blood off hands and knife. --A woman describes the smell of a decomposing body. --A store clerk is robbed and shot. --A man licks blood from another man's nostril in extreme closeup. --A teenage boy struggles while being bound with duct tape. --Three murderers are shown smeared with their victim's blood. --Dream of a victim covered in blood talking.

All descriptions of sex in this film include the four-letter words to describe the acts and body parts. Along the way, the F-word is used twenty-three times, and the S-word is used ten times. A derogatory word for a gay man is used twice.

One scene includes pills. Another includes a heroin injection. Several scenes include cigarettes and alcohol. There is a scene of a woman blowing cigarette smoke into a teenage boy's mouth.

Scenes that would otherwise be intense are shot in such a cold, distanced manner that they become almost clinical. Their lack of intensity makes them all the more disturbing.

Still, there are particular scenes that build enough suspense to pack a wallop even though you know exactly what is going to happen.

Most of the violent sequences are pretty unnerving, but it's often hard to figure out why.