Scenes of strong violence include stabbings and repeated heavy blows, resulting in significant bloodshed.
Flashback sequences reveal a serial killer using a chainsaw to cut up the bodies of his victims but, although significantly bloody, does not include the strongest of gory images.
The serial killer uses a scalpel to cut a woman's wrist.
A dog is shot.
There are references to domestic abuse, including an adulterous wife accusing her husband of abuse in order to cover up her own marital indiscretions.
There are bloody crime scenes in which the bodies of murdered women have been cut up into several pieces.
Severed limbs are found buried.
There are crime scene photographs depicting strong injury detail, such as a woman with bite marks on her neck, as well as another with her throat slit and toe removed.
There are verbal references to sexual violence.