One sex scene. Breasts and thrusting are shown.

It is mentioned that a character is sleeping with his sister.

Pumpkinhead claws a guy to death. His arm and leg are shown severed.

A guy's back gets broken.

In one scene, 3 guys get it. One gets pecked in the face by chickens. Two gets his back crushed, and three gets clawed in the ribs.

A guy's head gets crushed. The actual crushing isn't seen, but blood splatters all over.

A boy is killed offscreen. He's later seen covered in scratches.

Two people get impaled on an iron spike.

A boy's head is ripped off.

The monster is brutally shot. Chunks of gore fly off his body and blood drips from his mouth.

Several uses of the f-word and some other harsh language.

Pot is smoked.

The film opens with the lynching murder of a mentally challenged boy.

The opening and closing scenes are particularly distressing. Some other somewhat creepy scenes are shown throughout.