It is implied that a dad rapes a baby.

Several people are seen naked as victims; many explicit views of their butts. Breasts and vaginal areas are limited to partial or side views.

A man masturbates with sandpaper around his penis.

A woman is raped by a man who wraps his penis in barbed wire.

A man and woman have sex in the front seat of a car for a few seconds.

A prostitute briefly performs oral sex on a man; no nudity.

A nude, pregnant woman gives birth.

There are several references to a man being sexually abused by his father when he was younger. Voices of the father raping his son are heard through flashbacks.

The girl at the front of the human centipede is failing to defecate properly, so a man force feeds her laxatives so the waste will be sloppy and watery. A disgusting sound is heard.

A man shoots a young man in the foot (blood spurts from the wound and the man then hits the young man on the head with a crowbar, leaving his face soaked with blood).

A man shoots a young woman in the leg (blood spurts from the wound) and then hits her on the head with a crowbar (leaving her face soaked in blood).

A man is shown lying on the floor with a bloody wound in his stomach.

A man approaches another man and a woman who are driving in their car with their young child and shoots at the windshield; the man falls out of the car with a bloody wound in his head and the other man hits him with a crowbar, knocking him unconscious (his face is left soaked in blood) and does the same to the man's pregnant wife as she tries to crawl away (blood pours down her face).

A man grabs another man and pins him to a wall by his throat; he then throws the man to the floor and kicks him repeatedly in the stomach.

A man grabs his mother by the back of the neck and forces her head inside a tank containing a centipede; it attacks and bites her face. He then hits his mother repeatedly on the head with a crowbar, completely crushing her skull. He then props her dead body up at a dinner table and her destroyed and gory face is seen.

A man shoots another man in the leg (blood spurts and pours from the wound) and then hits him on the head with a crowbar (leaving his face soaked with blood).

A man is shot in the shoulder (a bloody wound is shown) and hit on the head with a crowbar (his face is partly soaked in blood). A prostitute is then shot in the back. A man then approaches another man and shoots him in the penis (blood is shown) and the head (blood is shown).

A man hits a woman on the head with a crowbar (blood spurts from the wound briefly and her face is partly soaked in blood).

A man has five or six of his teeth smashed out (shown in close-up with very bloody results; the man chokes loudly as his mouth fills with blood).

A woman's knee is cut open (the blade is shown cutting her flesh open in close-up with bloody results), reaches inside the wound and pulls out her ligament which he then cuts.

A man uses a kitchen knife to cut open another man's knee (the blade is shown cutting his flesh open in close-up with very bloody results), reaches inside the wound and pulls out his ligament which he then cuts.

A man's butt cheek is cut open and a piece of flesh pulled off (the man is shown to have died from this).

A man uses a staple gun to staple another man's mouth to a woman's buttocks and does the same to other people (also shown in graphic close-up).

A man violently rapes a woman from behind with barbed wire.

A woman explosively defecates into another woman's mouth, and this continues as the waste goes through 12 people that are sewn together mouth-to-anus.

A man uses a pair of pliers to pull out a woman's tongue (blood pours out of the woman's mouth and the severed tongue is shown).

A woman defecates into a person's mouth; the woman at the end of the centipede then defecates onto the wall behind her.

A woman goes into labor while running away; blood pours onto the floor. She then gets into a car and gives birth graphically; the woman then accidentally kills the baby by crushing its head underneath the gas pedal.

A man tears stitches away from his mouth graphically; a large amount of blood pours from the man's mutilated mouth.

Several people's throats are slit with a kitchen knife (blood spurts from the wounds).

Several people are shot in the head (blood spurts from the wounds).

A woman punches a man, pulls down his pants, puts a funnel into his anus and then puts a centipede into the funnel. The man then stabs the woman in the throat (blood briefly spurts).

Use of slurs for the mentally handicapped

Uses of "fuck" and "cunt".

A man is shown injecting victims with a laxative.

A man smokes a cigarette.

The killing of the parents in front of a baby is extremely disturbing.

(Deleted. Personal opinions about ratings are not appropriate for the Parents Guide.)

The kidnapping, torture, and deaths of the victims may be disturbing for some viewers.