In one of the killers tapes, he has a female victim in the back of his car, and he says to her "I'm gonna pull over and r*pe you". Very disturbing

Various crime scene shots of dead bodies of women lying on the ground, some nude.

A woman's nude corpse is seen lying on a table.

Many mentions of sexual assault but never shown.

"Ted Bundy" is interviewed and rape is mentioned in the scene.

It is mentioned that a woman was genitally electrocuted.

A brief reference to sexual fetishes

A man is showing sawing off a woman's head (after she is dead), then picking it up by the hair.

A man breaks into a home and kills a man, then kidnaps his girlfriend. We then see her tied up in painful positions (arms wrenched behind back, etc.) crying and begging to be let go. She is hung up in chains, gagged, tortured and is coerced into slitting the throat of another abducted/tortured girl.

A man ties a woman up and stabs her in the neck very slowly with two needle-like weapons attached to his fingers. The woman's face is very close to the camera and we can see her in agony, choking to death on her own blood behind the clear tape covering the lower half of her face. Graphic and intense.

Throughout the movie, many people describe the brutal killings that were taken place. In gruesome detail, including animal feces being stuck in mouths, intestines being pulled out, genitals being removed or electrocuted, being burned alive, teeth being removed by pliers, women being raped post-mortem. Sometimes there are brief flashes of photos accompanying them. (The list goes on.)

A lot of emotional turmoil is expressed. One profiler mentions that he brought the VHS tapes home and his wife accidentally saw them; she refused to let him touch her again for almost a year. An older profiler mentions quitting his job because he was institutionalized after a mental breakdown because he was the one to cover the case of an eight-year-old girl who was abducted, and it reminded him of his own daughter.

A former abductee of the killer is found eight years after her abduction with an extreme case of stockholm syndrome. She eventually kills herself (offscreen).

In a scene during the film's credits, a woman is told that if she doesn't blink, she won't be killed. As she realizes that any minute she's going to blink, she hyperventilates while screaming at the same time.

It's mentioned that a man murdered and buried dozens of corpses in his backyard, including his landlady, a married couple and a baby.

One use of the word "Fuck" and "fucking".

One use of the word "Bastard"

One use of the word "Bitch"

Two uses of "shit".

No drugs, possibly some beer drinking in one of the 'found-footage' segments, but the quality is low and the bottles are hard to identify. Hardly worth mentioning.

All of the scenes listed in the "Violence & Gore" section are done so in such an unnerving way, what with the disturbing costumes the killer is wearing and makes his victims wear, they can be extremely frightening to many viewers. There is not just gore, but many scenes (taped by the killer) that include lengthy depictions of victims screaming, crying, begging for their life, including not just physical but extreme emotional and verbal abuse --including very intense brain-washing scenes, punctuated with torture--by the killer, that many viewers may find very upsettng.

This is a severely disturbing movie due to the above, as well as graphic descriptions by characters who were on the case or some way involved in it, that are detailed and brutal as to exactly what was done to the victims. Many very convincing crime scenes (including remains of corpses) and autopsy documentations are also shown. No rape or sexual abuse is shown, but forensic and other experts describe the evidence of it, including genital mutilation.