Violence and degredation of five girls is the main theme. Though there is an ample amount of blood, the actual "gore" factor is fairly low.
All girls are hit, kicked, slapped, puched, and beaten with various objects.
One girl is shot in the shoulder with a shotgun.
One girl's hand is crushed in the minivan's door.
A girl is beat with a hammer and A pair of pliers.
A girl has fishhooks shoved in her mouth.
A girl get gasoline in her eyes.
A girl gets electrocuted.
A girl throws shit on a windsheild.
A woman is stabbed in the neck with a screwdriver.
A girl has a crowbar stuck in her arm.
A woman has the barrel of a shotgun shoved in her ass. (Implied, not shown)
A girl is beat in the face with a hammer.
A couple dead bodies are seen in the back of a car.
A woman has a screwdriver shoved in her vagina. (Implied, not shown)
A girl vomits in the minivan.
A woman is clubbed with a tire iron.
A woman is stabbed repeatedly with a screwdriver.
A woman (presumed dead by this point) is set on fire and allowed to burn.
Lots of blood is shown.