Plenty of sexual humour.

A sub-plot of the film is that Kyle has to suck Cartman's balls, so there are some fairly strong references to this throughout.

Cartman is shown naked with his testicles in full view, which then explode like dust.

At the end of the movie the furry creatures are shown raping Popeye, but nothing graphic is shown.

Butters thinks that the mayor of Imaginationland is a rapist.

We see fantastical creatures being decapitated, dismembered, shot and stabbed. All this involves gory details and blood spurts. To reiterate, the nature of this is comical.

NOTE: Although the violence is severe, it is still comical and is intended to be humorous in nature. The animation anyway is not very realistic and the graphic violent details tend to be more sketchy and comedic.

Terrorists attack Imaginationland. This is actually quite graphic; people are blown apart, a lot of blood and gore is shown, and several people catch alight.

A care bear is shot graphically in the head and is then decapitated.

Strawberry Shortcake is tied up and beaten, then her eye is cut out.

The Good and Evil characters battle against each other at the end with some bloody violence.

Popeye is raped by the Christmas critters on screen but it is played for laughs.

ManBearPig escapes the portal and kills many people at the pentagon in very gory ways. The people are graphically dismembered where innards show. This scene is replayed once or twice.

The swearing in the film is actually not that bad

Fuck and Shit is used many times.

Name calling (Horse-fucker, Pig-fucker, Ass-fucker and Cock.)

Some very subtle references.

Benign-looking creatures such as squirrels and other furry animals speak of killing and raping people. This can be unsettling, despite the (dark) comedic tone.

Strawberry Shortcake is tied, taunted and assaulted by the evil fantasy creatures in a bullying manner. Her eye is then graphically gauged out. This is the more disturbing and intense scene in the film, especially to the sensitive viewer. It's worth noting that she is reincarnated at the end, like all the other dead "good" imaginary characters.

(Deleted. Personal opinions about ratings are not appropriate for the Parents Guide.)

A character is raped by christmas critters (offscreen.)

The terrorists attacking Imaginationland is very intense, emotional and quite disturbing.

Some scenes maybe racist or offensive to some viewers.

At one point the evil creatures talk about urinating in someones eye socket and then talk about getting someone with AIDS to do so.