Unsimulated vaginal penetration throughout the film, including close-ups of fingering, dildo play and ice cubes being inserted into the vagina.

One of the main characters is nude throughout the entire film.

A woman is urinated and vomited on. This scene is unsimulated.

A man masturbates to porn, the masturbation itself is simulated but there are closeups of the pornography.

A woman is beaten, raped and abused throughout the film.

A woman has her tongue removed.

A man watches a snuff video where a baby is graphically tortured and dismembered.

A woman has her vagina graphically mutilated in a prolonged sequence.

A woman is violently beaten with a baseball bat and then dismembered.

It is worth noting that a few of the beating scenes appear to be unsimulated.

Dismembered child bodies are seen at the end.

Lots of profanity and threats throughout.

The main character is a drug addict who snorts cocaine throughout.

The film is extremely graphic and disturbing as it deals with the degradation and abuse of a woman as she is forced into submission to be sold as a slave.

One character is schizophrenic and has multiple breakdowns which are shown in ominous sequences.

The ending is extremely bleak and bizarre.

The sequences involving infanticide are very disturbing.