There is no gore, but some earthworms are shown being cooked/processed in various ways or slurped up outright. The extent of the violence is a child shoving another child down in the course of bullying.
A young teenage boy bullies a preteen boy, smearing a jelly/jam-covered slice of bread on the younger boy's left cheek.
Some bruising can be seen on the faces of some of the children. (In one case, these are likely actual bruises on the actor, as he had been injured in accidental bicycle collision on the first day of shooting.)
Throughout the movie, Billy eats 10 earthworms; including blended, crushed, barbecued, fried and with no processing.
An earthworm explodes in a microwave oven. Guts are seen.
(There is a disclaimer at the end reading, "No worms were harmed in the making of this movie." The shot of the exploding earthworm is briefly shown again, "Not even this one.")