The movie does not show genitalia, all shots where it would be present is blurred.

A rape scene, brief and not explicit.

A women masturbates, moaning and hand motions are seen, but the actual act is blurred.

A boy shows a girl his penis. She is horrified. The boy's butt crack is viable and we don't see him from the front.

Multiple sex scenes throughout, some consensual some not.

One lengthy gay sex scene where an older man feels up a younger man, sniffs, and gropes him.

A central point of focus is the romance between a midget and a young girl.

Not as violent as the anime and manga it is adapted from.

A man kills a puppy by stomping on it and then cooks it into soup. In the censored version, the stomping is onscreen but framed where the puppy is not visible. In the uncensored version, the puppy is shown graphically exploding under the foot with stomach contents, organs, and blood violently being shown.

A severed arm with worms is seen.

People are contorted.

Characters smoke. Occasionally the focus is on the characters blowing smoke

Casual drinking is seen.

The film aims for an off-putting atmosphere.

Midori's situation is distressing and may upset young viewers.