A man gets shot in the head while driving and blood spatters. This scene is very brief.
Art the Clown tries to suffocate a woman by placing a plastic bag over her head.
A man has is killed via hacksaw. You do not see the murder but you do see Art the Clown decapitating a man as well as cutting off the man's arms.
A woman is whipped with chains and at one point her cheek is cut.
There are two car crashes that occur.