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In the US, Chained got a limited theatrical release. Given its content, a wider release might not have been a success story and a financial risk for the distributor on top of that. Nevertheless, an "R" rating was required and the MPAA was not willing to give it to the film. Even after an appeal, the NC-17 (for some explicit violence) stood rock solid. The MPAA wasn't concerned about the rape scene but had its problems with a graphic throat slit. Thus, the filmmakers finally agreed to alter that scene in order to get the "R". Those film fans who looked forward to see the movie could keep up their hopes that the home video releases would contain the uncensored version after all. However, for US customers, that didn't quite come true. The DVD and Blu-ray include the "R" rated version and put the problematic scene into the bonus section. That might be a nice little gimmick but it's still not the perfect solution. The German distributor Capelight Pictures shows that it could have been possible to go the other way. Aware of the censorship situation, they asked the licensing company to give them the NC-17 version and this was indeed successful. A detailed comparison between both versions with pictures can be found here.
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