There is a moderate sex scene.

A sadistic killer tortures captives by cutting their flesh; he mutilates their corpses.

He slashes a victim's throat.

He places a victim on railway lines to be cut in half by a train.

There are images of victims extracted organs, including eyeballs and intestines, as well as closeup images of severe bodily trauma.

There is a strong scene of domestic abuse in which a man beats his wife and throws his child down the stairs.

It is implied that a man kills a pet dog.

There is infrequent use of strong language ('f**k') and other terms such as 'shit' and 'bloody'.