Frequent female nudity.

Lesbian and heterosexual sex scenes.

Themes of sadomasochism throughout.

Main character always wears painful chains wrapped around her body, which is bruised and scarred as a result.

Multiple brutal murders by blunt instrument. Mild gore.

Rape scene.

One drowning.

Mildly frequent profanity suiting the film's rating.

Frequent smoking, mild alcohol use.

Suggested rating R for disturbing violent content, nudity throughout, and sexuality

Intense scenes of murder and rape.

Frequent unpredictable outbursts by unstable murderer character.