Scenes are not always dramatized; many are surveillance or bystander video, making the violence feel raw and realistic.
Contains frequent, disturbing, real-life violence. This includes footage of accidents (crashes, falls, run-overs), physical assaults, sometimes shootings, violent crimes, or aftermaths. Injuries, blood, disfigurement, even death are shown (sometimes partially censored, but still graphic).
Even with editing or censorship, what remains is sufficient to upset sensitive viewers (i.e. Extreme injury, visible bleeding, or trauma).
Extremely Severe: frequent real videos showing serious bodily harm, accidents, shootings, and often very graphic injury (though censored/blurred).