A lengthy sex scene features a male thrusting into a female.

Brief nonsexual male frontal is glimpsed from a distance of an unnamed inmate in the background.

An animated bare male rear is seen.

Infrequent acts of violence including a sudden stabbing, bashing of heads and suicide with bloody detail.

People in a mental asylum are brutally abused by guards. One scene shows an inmate being strangled to death which is mostly heard but partially seen. In addition there is a scene that implies a man is raped after he is viciously slammed into walls and beaten.

During a fantasy sequence, a man shoots himself with bloody detail. Other scenes include characters holding up a gun up to themselves as well as verbal references to suicide and self-harm.

In a fantasy sequence, a man commits several murders. He kills a man by repeatedly hitting him in the head with a chair with some squirting blood (although it's dark) before taking a large mallet and brutally bashing another man's head in and his skull is shown caved in for a brief moment afterward. He also fires his gun several times at the crowd killing several people, which splatters blood on the screen. He finishes by shooting himself in the head while the screen is dark; blood flies out.

Violence is a prominent theme throughout, while there are scenes of explicit violence and blood, they are not depicted in a gory sense.

Non-explicit verbal references to child sexual abuse.

A guy is shot in the stomach. Some blood sprays out and comes from the hole in his chest.

51 uses of "f*ck", other uses of "d*ck", "sh*t", "bitch" and 'retard".

Constant scenes of smoking throughout the film.

There are scenes of distress following an explosion.

A few acts of shocking violence.

The film's tone is very dark and gritty.