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Parents need to know that this movie is the stuff of nightmares, even if the inured horror aficionado might not find it scary. The images of torture and death are brutal and explicit, lingering in mind long after the movie ends. There are multiple on-screen deaths, a child's life is threatened, characters die, a father is forced to make terrible decisions to protect his family, and there are no scenes free of peril. There are references to suicide, adultery, drug addiction, madness, and self-mutilation. There is strong language, and characters smoke. Underlying the killer's motive is the notion that everyone deserves to be tortured and that there are no innocents.