Some people talk about sex, nothing extreme

No nudity

A mans head is split into two by a axe

The granny slashes a woman across the face, this scene is brutal but off screen

A woman is suffocated by a plastic bag

A woman is strangled to death by a rope

A man gets impaled by 2 knitting needles, they go through his eyes

A few uses of fuck, shit and some religious profanity

A lot of alcohol is drunk

This is a really scary movie with LOTS of suspense, it also has a sick twisted ending.