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MPAA Rated R for disturbing sadistic horror violence, nudity and language

Sex & Nudity

  • 4/10
  • Two women are topless (bare breasts are visible on numerous occasions) with bandages covering their privates.
  • A man swims in the nude and his back, buttocks, and legs are seen.
  • When a man lowers his pants to defecate, a brief glimpse of his bare buttocks is seen.

Violence & Gore

  • 8/10
  • A man marks two women and another man for surgical cuts, the man cuts into buttock tissue (bloody tissue is pulled away) and he pulls several teeth using surgical pliers (bloody teeth and a bit of blood in a woman's mouth is shown).
  • A conjoined man cries and says that he has to defecate; the conjoined woman attached to his rear gags and it is implied that she has to swallow his waste.
  • The three conjoined people climb a flight of stairs and as they go, blood from where they are surgically attached pools on the floor.
  • A man whips three conjoined people with a horse whips (lash marks are later shown).
  • A man slits his own throat using a shard of glass (blood pours from the wound): he collapses, he is heard gurgling and a pool of blood forms under him.
  • A man stabs another man in the foot and the knee using a scalpel (some blood is seen) and when the man falls to the floor, the other man bites him on the neck (blood is seen on the victim's neck and on the biter's mouth).
  • A man is shot twice in the abdomen (bloody wounds are shown) and he falls into a pool.
  • A man is shot in the head (a bloody bullet hole is seen and blood splatters on the wall behind him).
  • A man kicks another man in the face twice and he falls unconscious.
  • A man bites another man on the leg.
  • A woman frees herself from her bonds and pulls an IV out of her arm (some blood is seen on her arm).
  • A woman's surgical scar is infected, a man squeezes a spot, puss oozes out onto his finger, he smells it and tells her she is very sick and will die.
  • Two women have large scars on their cheeks with surgical staples holding them together.
  • A man buries the body of a man wrapped in a plastic sheet.
  • A man injects another man's IV with a drug that kills him (the man writhes and moans; he then goes still and his heart monitor flatlines).
  • A man grabs a woman by the hair and injects her in the back of the neck with a drug that causes her to lose consciousness.
  • A man injects the IVs of a man and a woman with a drug that puts them to sleep (they moan and thrash and scream before falling to sleep).
  • Two women and a man wake up tied at the wrists and ankles to hospital beds and they struggle to get free.
  • A woman is shot in the back with a tranquilizer dart.
  • A man carries an unconscious man with a tranquilizer dart sticking out of his back into a house.
  • A man goes into a wooded area to go to the bathroom, he lowers his pants and squats down, another man with a rifle approaches from behind him and a gunshot is heard.
  • A woman drags an unconscious woman through broken glass.
  • A woman falls into a swimming pool, a man with a gun stands outside aiming the gun at her, she goes under water to avoid being shot, the man closes the pool cover over her, and she gets out unharmed.
  • A man holding a scalpel and a man holding a shard of glass threaten each other.
  • A man pounds on a door and a glass window trying to get to a woman who is hiding; the glass shatters and the man enters the room with a rifle.
  • A man describes and shows line drawings of a surgical procedure that will connect three human beings by attaching them at the mouth and anus.


  • 7/10
  • Intense swearing on multiple occasions in English, German, and Japanese.
  • Multiple instances of sexual dialogue; one particular is largely in German and is misunderstood by two American girls.

Alcohol, Drugs & Smoking

  • 4/10
  • Two girls are unknowingly drugged with Rohypnol (the date rape drug).
  • A man tries to drug two other men with the drug. However, they do not drink the water.

Frightening & Intense Scenes

  • 8/10
  • The plot revolves around several people are abducted to be unwilling participants in an horrific "medical" experiment of an insane doctor. Their mouths are stitched to another person's rear. This may be frightening for some viewers.
  • A woman whose mouth is surgically sewn onto a man's rear "ingests" some waste when the man defecates. This may be disturbing for some viewers.
  • Total: 31/50.

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