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MPAA Rated R for strong violence, sexuality, drug use and language

Sex & Nudity

  • We see porn playing in the background briefly.
  • A man thrusts into two women, they are on top of each other, bare breasts are seen briefly.
  • Two women make out as a man watches and talks about music. Then he brings one of them into another room to have sex with him. The scene is cut short as blood appears on the bed, implying that he was stabbing her. Then the other girl attempts to leave so he chases her into the hall with a chainsaw. His bare buttocks are briefly shown but that's the extent of the nudity in this scene.
  • A man and woman have sex fully clothed.
  • A nude woman is seen in a bathtub, her breasts are briefly seen.
  • A dead naked girl is seen lying flat on her stomach. All we see is her butt.
  • A man is seen in a tanning bed, his pubic hair is visible briefly.
  • Patrick's butt is briefly seen when he showers.
  • Patrick picks up a prostitute.
  • A notebook contains drawings of nude women. This is shown at the very end.

Violence & Gore

  • We see a bunch of drawings including pictures of rape and murder and other fetishes, not very detailed but still disturbing.
  • There is a decapitated head seen in a fridge.
  • Patrick confesses his history of murders on the phone to his lawyer. At one point, he admits that he practiced cannibalism.
  • Very graphic and disturbing violence is depicted throughout.
  • A man is killed with an axe. Instead of seeing an axe enter his head, there is his reaction before he is killed, a blood spray on the killer's face, and his face in a pool of blood from a distance. When his covered body is being dragged out, it leaves a bloody trail.
  • A chainsaw is dropped on a woman from a great height. The impact is offscreen and no sounds are heard, although we see the chainsaw lodged in her back and blood pooling on the floor from a distance.
  • A few bodies of women are briefly shown in a closet, and a bloody corpse is partially seen in a bathroom for a second.
  • One woman is briefly seen with a slightly bloodied face after an implied act of violence.
  • A man is bloodlessly stabbed a few times around the upperbody.
  • A dog is swiftly stepped on and killed but this is partially obscured by a trash pile.
  • An old woman is shot in the chest and drops dead. A kitten is threatened with a gun.
  • A policeman is briefly shot in the chest and a squad car blows up.
  • A woman opens a book and is shocked to find preschool-level drawings of women being murdered and mutilated.
  • A janitor and a cleaner is killed quickly by a gunshot. No blood seen.
  • A man is shot in the head and slumps back in his chair with blood spraying on the wall behind him.


  • 27 uses of "fuck", 5 uses of "ass", 3 uses of "bitch", 3 uses of "dick", 2 uses of "shit", and 1 use of "faggot", 4 uses of "Jesus", 2 uses of "Goddamn", 1 use of "Christ", and 1 use of "hell".

Alcohol, Drugs & Smoking

  • A man pours LSD into the drinks of two prostitutes without their knowledge.
  • 2 or 3 uses of cocaine in a public restroom. Some brief talk about using other drugs including steroids. One character appears to be under the influence of depressants.
  • Some characters smoke and drink.

Frightening & Intense Scenes

  • A scene where a woman sees a man trying to eat another woman may disturb some viewers.
  • The movie has several scenes of extremely graphic violence that will shock many viewers. Many viewers believe that none of the violence depicted ever happened and it was all in the main character's imagination.


The Parents Guide items below may give away important plot points.

Violence & Gore

  • Many viewers believe that, near the end of the movie, the violence seen throughout never happened and it's all in the main character's imagination.
  • Patrick engages in a gun battle with four police officers. He wins as he somehow was able to blow up a police car by shooting at it.

See also

Taglines | Plot Summary | Synopsis | Plot Keywords

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