Common Sense Note

Parents need to know that while the thriller elements revolve around a gruesome serial killer, much of the plot revolves around a paralyzed forensics expert who, at the beginning of the film, is planning his assisted suicide with the help of friends. There is a lot of very graphic and grisly violence, with dead bodies aplenty. Characters are shot, stabbed, crushed, bitten, and killed in horrific ways. There is also frequent profanity and some drug references.

Sexual Content

Some kissing; a couple is shown as lovers. Some light flirting and sexual tension.

Violence

Grisly violence, with dead bodies aplenty; a man's spine is crushed by falling rock. A sharp blade punctures a man's hand; scary medical crises, including seizures. A woman is bound in front of a steam pipe, so that when it vents, we hear (but do not see) her being burned alive. We later see her body. Rats gnaw a corpse. A cop is shot point-blank. A woman is stabbed with a butcher knife. A man's hand is crushed by a collapsing bed; a man bites out another man's jugular. A man is shot at short range.

Language

Frequent strong language, including "f--k," "s--t," "bitch," "hell," "damn," "God" and "Jesus Christ."

Social Behavior

The film's characters send the message that trauma can be overcome through hard work and sincere effort, along with the support of friends.

Consumerism

Some brands visible or mentioned as part and parcel of the film, like Amtrak, Woolworth's, Timex, and more.

Drugs / Tobacco / Alcohol

A paralyzed man requests vodka instead of juice. Many street drugs are shown and mentioned as part of a police demonstration educating officers.