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Several sex scenes, including a graphic anal sex scene with explicit dialogue. For some characters, sexual gratification is related to bodily injury.
There are a great deal of car crashes that are very violent. There is also the aftermath of a car crash in which James Spader's character walks out and his leg is cut.
There is a great deal throughout the film.
There are a few references to drugs, alcohol, and smoking throughout the film.
This film can be very disturbing if watched by young people.