The part where a girl gets run over by a speed boat contains a little bit of female nudity (bare breasts).

Like you could expect there are many graphic and disturbing scenes in this fourth part.

The video starts with actual images of various corpses, a few close ups of hands and feet can be seen.

There's footage of the process of an cremation which is extremely disturbing, the skin of the corpse can be seen boiling (including blisters which erupt from the skin).

Staged footage is shown of a mental patient who killed a few doctors offscreen, he threatens a nurse with a screwdriver, finally he stabs her in her throat. Blood can be seen running out of the mouth of the woman.

The corpse of a woman can be seen who got electrocuted on the railroad.

The stiff corpse of a man who got shot in the back of his head can be seen.

Footage is shown of a mangled man who got pinned between a subway train and the platform, it is told that the train worked as a large tourniquet as long as it stood still. When the train moved his blood and internal organs spilled out of the gaping wound (this is not shown).

The corpse of a man who got shot in the head can be seen.

The blood splattered corpse of a murdered cab driver can be seen.

A crashing jet fighter can be seen, it is implied that multiple people got killed.

Staged footage of a few men who get killed in a collapsing mine can be seen.

Staged footage of a man who loses his leg at a scrapyard can be seen, his bloody stomp can be seen.

A clip shows a man on a bike getting run over by an ambulance.

A staged scene is shown in which a magician gets killed by an object with blades attached to it wich falls on his head.

A man can be seen jumping off a crane on safety pillows, he breaks his neck.

Staged footage is shown of a drunk boy who attempts to bungee jump, he falls to his death because the rope was too long.

Staged footage is shown of a girl who has a speed boat running over her.

Staged footage is shown of a man who gets drawn and quartered, his gory remains can be seen.

A terrorist bombing by the IRA during a funeral can be seen.

A few people can be seen getting brutally beaten by soldiers.

Staged footage of a cop beating a hispanic man can be seen, it is told that man killed himself in jail.

Footage from Haiti is shown in which a bunch of people flee for their lives as the army tries to shoot them.

Staged footage is shown of two mob like figures who suffocate a man with a plastic bag.

The corpses of two black men can be seen lying in a car, for some reason they connect it to the staged footage of the man who got suffocated.

There's a staged mob hit during a wedding, a few actors can be seen lying on the ground covered in stage blood.

A short snipped which shows a man getting stoned to death can be seen.

The result of a failed bombing attempt can be seen, the terrorist has both of his legs twisted. His hip is a bloody mess.

A staged clip shows a bank manager and a robber being locked up in a safe, the robber shoots the manager in the face. A few moments later the security camera shows the robber suffocating to his death.

The staged electrocution of a bald headed woman can be seen, it isn't that disturbing since you'll notice that it's staged.

A staged clip shows a man having his arm bitten off by a tiger.

Footage is shown of insects eating flesh and cleaning the bone.

Disturbing footage is shown of a vietnamese family who slaughter a puppy, a woman lays the puppy on a carving board and proceeds to cut the puppy open and disembowels it. NOTE: This footage could be staged since you never see the actual slaughter in full screen like they do with slaughterhouse footage, you do get to see a close up of someone cutting in fur and removing pieces of flesh. Afterwards remains of the slaughtered pup are shown.

The cremation of a dog can be shown in graphic detail.

Staged footage is shown of a woman who gets attacked by a giant leech, a man attempts to remove the leech by cutting it. Green liquid can be seen, they use a blow torch to burn the leech off. It is implied that the girl died.

Burn victims and other people with medical problems are shown, the narrator tells that in some countries they use iron rings which are heated to cure the patient.

Staged footage is shown of a tribe ritual in which a member of the tribe gets stabbed and has his heart cut out.

A short clip of a small child which suffers from cancer can be shown, this could upset sensitive viewers.

Staged footage shows a raid during a satanic ritual in which human body parts are sold, the decapitated head of a man can be seen including some other body parts which are found in the nearby woods. A video clip is shown in which the satanists stab a man to death and slit the throat of another man (the last bit of footage looks more like something for a low budget gore-film).

A few uses of fuck can be heard through out.

Most of the actual footage is extremely disturbing and intense, the part where a vietnamese family slaughters a puppy could be too much for some people.