This film contains partial female nudity and full-frontal male nudity. It contains two graphic depictions of a killer having sex with severed heads and offscreen incestuous rape between a son and mother (audible but not seen).

This film contains excessive violence and gore, including multiple graphic murders and dismemberment, as well as offscreen (audible) murders. Most of the violence is witnessed by a child character and at one point a child character is bound and gagged. Other points of violence and gore include an assault with a shovel to the head, vomiting, a killer bathing in blood (and then having vigorous sex with a severed head), and intense physical violence among family members (child abuse and offscreen rape).

This film contains a great deal of profanity, including many instances where profane words are said by minors.

The film contains themes of racism and homophobia, multiple uses of the words faggot and nigger.

One character smokes a cigarette in a scene and a couple of scenes contain marijuana paraphernalia.