This would have a higher rating but there is not a lot of gore throughout the film. However, when there is gore, it is disturbing and realistic.
A dead woman is strung up on a stake. It is suggested (not shown) that she was skinned and had her flesh torn from her bones.
You see a dead woman laying on a table with her wrists slit. Blood is draining out of her, off of the table, into a pot collecting the blood.
You see a girl marking lines on another dead girl with red lipstick. The lines are supposed to be where they are going to cut her flesh off.
Towards the end, two people are shot, one of which is fatal.