The film is extremely disturbing but not as violent as other films of Rob Zombie, the novelization on the other hand is WAAAAAY More violent, gruesome, and disturbing
A scene involving three "doctors" who are demons involve them taking a woman and yanking out scissors and pulling some guts out of the woman's stomach and blood is shown on the scissors and sheet. Very disturbing however we realize it was a dream sequence.
A pile of dead naked woman are shown however there are no wounds but it is still creepy.
A priest forces a woman to perform oral sex on him. We see him shove her head to his groin area and her head is shown bobbing up and down. He turns grayish and throws up some blood.
A scene is extremely anti-religious with words and actions. A scene involves the aftermath of a baby that was cut up, stitched back, and burned alive. It is shown hanging from a cross. A groutesque skeleton is also shown which may resemble the burned body of a witch. The whole scene is rather extremely creepy and violent.
The whole ending sequence is extremely disturbing. Lots of anti-religious imagery and creepy acts including the body of a burned baby. Very upsetting and disturbing.