A young boy is shown being baptized, but it goes horribly wrong when he has a seizure and nearly drowns.
A woman gently puts a young boy out of his misery by drowning him in a bath, as he is bleeding to death from a stab wound. Not as violent as it sounds.
A corpse is found by a river bed, wrapped in plastic and covered in ants.
The killer forcibly places a spiked collar on a woman's neck, which causes her to bleed.
A woman, who was tricked into thinking she ran over a dog with her car, is briefly strangled into unconsciousness by the killer when she attends to the dog and is then imprisoned in the killer's cellar.
A woman stabs a man in the back with a knife, some blood is shown.
Being a serial killer horror film, there is plenty of sadistic and bizarre violence and images throughout the movie, especially when the characters start to go inside the killer's mind via dream technology.
The killer's methods of murdering his victims include putting them in a glass tank which periodically showers them with water and stops, then turns on and doesn't stop until they drown, all while he masturbates to the footage. The killer then bleaches the corpses to resemble dolls and masturbates over them whilst hanging himself above them via chains attached to piercings in his back.
A young boy is verbally and physically abused by his father. He is hit, cursed at, threatened, beat with a belt and burned with a hot iron.