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Blood is found in a bathroom sink

The movie opens up with a girl coughing up blood

A dog's remains are shown in a sink with bones and a dog collar covered in blood.

A man lies on the bathroom floor in a puddle of blood

The clown forces a girl to eat the remains of her dead dog.

The clown gets shot with an arrow.

"Damn" and "Hell" throughout. A couple uses of "shit" and a few uses of "fuck" (several written)

Beer is seen at a restaurant but nobody is seen drinking any.

Palhaços