A girl is being tortured by Cenobites and chains hook into her flesh and contort her body into painful positions. Her entire back is later ripped away from the rest of her body.
The Cenobites mutilations are shown in great detail. Tendons, bones, flayed skin, metal wires and other objects are inserted.
A man is attacked by hooked chains that are summoned after solving the puzzle box. The first pierces his leg in bloody detail before being dragged across the floor. He is then seen being held up in the air by several other chains pierced through his limbs and torso; no gory detail as this is shot from far away. The man screams in agony throughout and the sound of new hooks stabbing him can be heard, which is unsettling to hear. His death is not shown onscreen.
Numerous characters are accidentally/deliberately stabbed with blades that protrude from the puzzle box. Blood and small open wounds from the trauma is often shown.
Wires are summoned by a cenobite, wrapping around the face, throat and arms of a male victim, pinning him face-up against a platform. Blood spatters as the wires tighten. The skin off one of the victims forearms is degloved by the wires (graphic!)