A woman lies in bed after sex and the outline of her nipples can be seen through her shirt.

In a locker room, a few very small explicit images including bare breasts. Hard to make out.

In the beginning of the film, we see an overhead shot of a man lying down on a bed and a woman kissing his chest; her head slowly moves below camera as his face looks pleasured (oral sex is implied).

Travor (Christian Bale) and Stevie (Jennifer Jason Leigh) lie in bed together, presumably after having sex. They are both clearly bare chested.

A man and a young boy ride on an adult-themed haunted house ride, where explicit sexual acts and activity are briefly shown (BDSM and fellatio); they are only seen as animatronic silhouettes.

A man and woman lie in bed together; the woman moves to change her lying position and one of her breasts can be seen briefly.

A man and a woman get caught having sex in a bathroom stall. The man is shown sitting on the toilet while a topless woman in her panties straddles him; we see her bare back and get a side view of one of her breasts. No male nudity.

One of the main characters is a prostitute.

Some sexual references include name-calling and a minor character telling his co-workers a crude story of how he ended up meeting a cross-dresser.

Only about two scenes of graphic violence; the rest of the violence is intense in terms of psychological disturbance and disturbing images.

A man is punched in the stomach.

A man gets hit by a car on purpose; he is shown bloody and bruised as he walks with a limp.

Neck-slicing gesture.

A woman slaps a man in the face.

A man tries to dump a corpse wrapped in a rug into a river.

A child suffers an epileptic seizure.

A man finds blood dripping from a freezer door and blood all over the floor.

A man runs from a police officer and knocks a woman out of his way before hiding in a sewer.

A man's forearm is ripped off by a machine, with some blood; the severed forearm is shown spinning on the machine. Photos of severed fingers and a hand missing fingers are later shown.

We see a man's hand with a missing finger that has been replaced with a toe.

Blood and dead bodies are shown in a haunted house amusement park ride. A child goes on the ride.

A man slits another man's throat; we don't see the actual killing, but later on in the shot, we see the dead man laying in a large puddle of blood.

The N-word, "bastard," "hell," "coochie," "prick," "Jesus," "Jesus Christ," and "Christ".

Very mature insult as a man calls someone a Poopy woopy.

5 "Ass," 17 "sh-t," "goddamn," 2 "bitch," 2 "whore," and 37 uses of "f--k".

Two scenes take place in a bar where people, including the protagonist, are shown drinking and smoking.

The main character is accused of being a "dope fiend" and a cocaine addict.

Other than drinking and smoking, no drug use is present.

Several characters smoke cigarettes, including multiple times by the protagonist.

The opening scene includes a man throwing a body wrapped in a carpet into a river or stream.

A young boy suffers an epileptic seizure from strobe lights caused by a haunted house ride.

The scene involving the haunted house ride is unsettling and possibly the scariest scene.

The lead character is emaciated.

Mature themes and dark, disturbing images.