Albert kicks a bird in the balls. The back of the balls of the bird are seen being kicked.

A man says he had a sexual experience with his uncle.

There is brief nudity and no sex scenes in this movie - but there is a lot of sexual dialog and innuendo.

Edward is waiting for his girlfriend in a salon. Ed's girlfriend is having sex with an older man offscreen and we hear Ruth shout, 'Shoot That Dirty Cowboy Piss All Over My Face!'

Edward has a discussion with a bartender and the bartender asks Edward, 'Do you mind it when Ruth is screwed by several guys a day?' Edward replies, 'Well, my job isn't that easy too.'

Edward insinuates that Ruth's breath smells like semen.

A bartender tells Ruth, 'I think my boss wants anal.'

Albert's father farts and shouts, 'That came out of my penis!'

On a date, Edward tells Ruth, 'Honey, you've got a bit of...you know, on your face.' Edward means 'sperm' and he wipes it with his handkerchief off her face.

Ruth is implied to be a hooker

Insinuation that Clinch is going to rape Anna. It doesn't happen. Anna puts a sunflower in Clinch's naked buttocks.

Multiple scenes have fake sheep penises. One sheep pees on a man's face. Later sheeps are shown dancing around peeing out of their very visible penises.

Ruth shows Edward her 'parts' but no nudity.

Cleavage shown in multiple scenes.

Ruth invites Edward to "come fuck".

A man comes up to Ruth in a saloon and says "Ruth! Let's fuck!" Ruth agreeably says "Ok"

Many, many people get killed in many different ways (hence the title). Some are gory, some are not.

Several people are shot dead.

One man is killed by a bull, we can see the bulls horn going into the man and there is a little visible blood on the mans shirt.

A photographer shoots a portrait of a man and a woman, who explode into flames with the background scenery; the man and the woman wave their arms and jump as two other men shoot at them with rifles (no blood); they fall backward, the photographer falls to the ground in flames and we see his bloody, severed arm burning in close up.

A falling block of ice smashes a man's head as it knocks him to the ground; we see a lot of brown splatter shootout in all directions and the corner of the ice block is seen to be covered in red blood on top of a smashed man's body (a hat, an arm and a leg are sticking out).

A man lies dead in the street (for three days, we hear) and we see two wolves drag the body away at night; the next day, a dog retrieves a severed calf and foot from the body, a man throws it offscreen and we hear a woman scream loudly.

Bandits stop an elderly man, steal his gold and the ringleader shoots the old man in the chest, killing him (no blood) as he falls backward offscreen.

During a shootout a man shoots another in the arm (we see torn fabric), while the other man shoots the first man's gun out of his hand.

A man dies of snake venom which was in a bullet that grazed his arm; the wounded man stumbles and slurs his speech, then falls to the ground in the street and a man and a woman stand by the body and the woman says the man is dead.

Two men start a gunfight and one of the men backs out; the other man shoots the first man in the lower leg with a glancing shot, felling him (we see no blood, but there is a black bullet mark on his boot later).

Bandits chase a man across the desert on horseback, shooting but missing him and stop at a racing train, as the lone man dashes across the tracks.

Bandits enter a saloon and their ringleader threatens to kill more people after shooting a man in the chest at point blank range (the shot man falls dead, without blood showing).

Bandits point guns at people and threaten to kill several people around town in a few scenes.

A woman says the ringleader of the bandits will be the dead man one day.

In a jail cell, one of the bandits beats up the sheriff and leaves him on the floor with a gash over the eye and blood under his head (could be alive or dead).

A man chokes a woman and she coughs, then chokes her again later and kisses her, making her cough louder until she picks up a large rock and slams it into the man's face (no blood), felling him and escaping.

A bandit threatens to shoot a dog between the eyes.

Native Americans knock a man unconscious and tie him to a stake, but stop short of lighting fire to him.

A man shoots at a target on a door and his father comes through the door shooting a rifle but hitting nothing.

An extended fight sequence in a saloon shows men fighting with fists, broken chairs and broken liquor bottles (all objects broken over other men's heads); one man dies of a slit throat (we see a lot of blood flowing), another man has his head pounded into the bar several times while tables are overturned and men fall, one man is thrown into the street through the glass window, which shatters loudly, two women fight by pulling hair and pushing, and two men in a corner pretend to fight and one accidentally slugs the other in the jaw (no serious injuries seem to occur).

A woman dancing kicks a man in the face, without injury, but he falls.

A man starts to hallucinate: he is shot in the back by a horde of dwarf bandits (blood spurts briefly from the exit wound on his chest), a large condor attacks him from the air and we see the bird's testicles as the man kicks it in the groin and a door handle changes into a snapping snake's head and back into a handle.

A man flatulates at a saloon table as he stands and falls dead, head first into the table with a loud crash.

A man stumbles and then suffers diarrhea on screen and we see him use two hats apparently to catch the feces as we hear a loud series of gurgles, flatulence and splats (we do not see feces until he knocks a hat over with his foot and we see what looks like a black and brown flow on the ground).

A doctor holds a bird that pecks a bloody wound on a man's face to clean it.

A man stumbles and falls on his sheep ranch and in town on rough streets, is thrown through a large glass saloon window among loud shattering glass, is hit in the head twice with large dinner plates (falling to the ground and off a horse), falls over a short desert ledge and falls into a deep hole (we see the man's forehead cut slightly and bleeding a little in three scenes).

We hear that the local schoolteacher died when a passing tumbleweed slit her throat in front of children.

A man tells a woman that his dad is up on the hill, burying himself beside Mom.

Multiple spoken lists of ways to die in the Old West are made, for example: snake venom, charging bulls, bar brawls, gunfights, wild desert animals, falling ice blocks, cholera, small pox, larger pox, county fairs, photography explosions, prospecting, Indians, train wrecks, bad booze, desert heat, card games that end in shootouts, refusing to play cards, doctors that use blue jays to peck at wounds, bowel inflammation, and blood poisoning.

A woman teaches a man to shoot, but he cannot hit any of the bottles lined up on a rail fence and he slaps them to the ground with his arm in frustration.

A man approaches a county fair shooting booth, shooting the operator dead (he falls backward, no blood) and walks away.

One man is kicked in the crotch.

'F*ck' is said 43 times.

'Sh*t' is said 28 times.

'*ss' and '*sshole' are said several times.

'Balls' is said several times in a vulgar context.

See "Sex and Nudity" section. A lot of sexual dialog and sex related jokes. These usually contain profanity.

Albert (Seth MacFarlane) is depicted to use a drug and he sees some CGI sheep penises. The scene lasts about five minutes.

The main character seems to open to drug-taking in some scenes, although the movie does not encourage drug-taking.

Anna asks Albert, 'if he takes any types of drugs such as pot?' Albert responds by saying, 'No way. It's too dangerous.'

Two people eat a pot cookie and later appear stoned.

Albert gets drunk in one scene.

Albert takes a hallucinogen and experiences a "trip".

Albert rolls a cigarette.

Several scenes are in a western saloon where drinking is occurring. In one of the scenes several persons appear drunk.

There is a reference to racism in the movie due to the time period that it is set in, which may be difficult for some viewers.

Seth MacFarlane acts a character in "A Million Ways to Die in the West" who says something very heavy regarding the sole purpose of himself, but justifies it by specifying the time period.

The many depictions of death many be difficult for some viewers.

The corner of a huge ice block is depicted to crush a character's head, turning it to pulp. Depictions of blood and guts splatter. This scene is unexpected and can be a shock. But Albert and Edward play it off a little bit so that it is not frightening and is not disturbing.