Silent Scream (2005)

Two girls kiss and remove their tops (each girl's breasts are seen briefly). They try to involve Mark in a threesome.

A girl removes her shirt revealing her breasts which remain in view for most of the rest of the scene while she tries to seduce Brad, and afterwards has a brief sex scene with Brad (the sex scene itself features no nudity).

There are numerous bloody deaths throughout the film: stabbings, stranglings, a drowning. A man is shot in the arm. A woman is shot and killed (we don't see the wound). The more graphic deaths follow:

A man has his face burned in a fire and we see his skin "melting" (the effects are cheap, but the implication is a disturbing death). A woman is stabbed in the eye with a sharp wire when she peaks through a keyhole (we later see her eye on the wire). A girl is caught in a trap that pulls off her legs, we see only the aftermath (her body on the ground, and her severed leg hanging from a rope).

The effects are not particularly realistic, and the camera usually doesn't linger on them long.

Moderate profanity. An occasional "fuck" or "shit". But not excessive for an R rated film.

A few scenes of drinking (tequila specifically).