Common Sense Note

Parents need to know that this offbeat horror movie/musical -- which is set in a near-future where people can buy plastic surgery and genetically engineered replacement organs on credit -- is extraordinarily violent (in some cases, the organs are repossessed). Livers, hearts, viscera, and entire spinal columns are pulled from unwilling victims, in many cases while they're still living. Paris Hilton appears in the film, which may attract teens' attention; but unless your teens have a strong stomach, they may not wish to see Ms. Hilton in special-effects makeup that makes her look like her skinned face is visible, with flayed musculature and blood showing over the bones of her skull. There's also plenty of strong language, some drinking, and brief topless female nudity.

Sexual Content

Brief topless female nudity; suggestive dancing and kissing. Naked cartoon breasts glimpsed in a comic book-style framing sequence. Cleavage is displayed.

Violence

Constant, extensive, and bloody violence. Throats are slit, there's bare-handed neck breaking, and characters are stabbed, shot, and eviscerated, with bloody organs pulled from their bodies. A character plucks their own eyes from their sockets before falling from a height onto a sharp metal fence. There's surgical imagery, stabbing with hypodermic needles as characters are drugged against their will, and extensive scars. A plastic surgery patient's skin slips from their face and reveals bloody, flayed musculature. Another character has extensive facial scars and wears a mask made of human skin attached with a series of hooks. A vast field of corpses is seen. Corpses are disinterred and stabbed with hypodermic needles to extract residual drugs from their bodies. A character shoves his hand into an eviscerated body and manipulates the corpse so it becomes a macabre ventriloquism act for a musical duet. Martial-arts style fighting, fist fighting, tussling, and head-butting. The death of millions due to a virus is established as a plot point in the prologue.

Language

Some strong language, including multiple uses of "f--k," "s--t," "ass," "balls," "bitch," and "damn."

Social Behavior

Extensive discussion of medical challenges, surgery, surgical addiction, and living beyond one's means. Characters repossess organs when people can't pay for them -- a process that's generally fatal.

Consumerism

No visible logos; plot elements question handing too much power to any one corporation.

Drugs / Tobacco / Alcohol

Characters drink hard liquor and wine. A plot point revolves around the street-level abuse of an experimental medical anesthetic, some of which is extracted from corpses. Drug-addicted characters are injected with high-tech hypodermic guns to ease the agony of their cravings.