The film has been banned in only 7 countries.
It is the second of only two films to date to receive an R20+ rating in Japan, the other being Grotesque (2009).
In the U.S., a heavily cut version was originally intended to receive an R rating, but was instead given an NC-17 rating by the MPAA. The uncut version of the film was never submitted to the MPAA.
The film was banned in Norway for sexual representation of children and extreme violence in a fictional medium. It's one of the few films banned in the country since Ichi the Killer (2001) and Grotesque (2009).
As of 2016, only a few countries have issued a rating for the uncut film. Others have required substantial cuts or banned the film altogether.
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