In one scene a woman is assaulted by some vegetation that has been inhabited by the demonic forces. The woman is restrained by vines and a branch crawls up between her legs and under her skirt. No nudity is shown and there is no strong sexual detail, but it is implied that the demons have entered her body. There is also a scene in which a demonically possessed woman taunts another woman in an explicitly sexual manner.
There is strong bloody violence and gory horror throughout, including sight of self-mutilation by demon-possessed characters. There is a significant focus on the infliction of pain, injury and bloodshed, including the cutting off of limbs and other acts of dismemberment.
33 uses of "fuck", 1 use of "cunt", 8 scatological terms, 1 anatomical term, 2 religious profanities, 3 religious exclamations, and 10 mild obscenities.
A woman is injected with sedatives a few times; some close up. A woman goes through withdrawal from drugs. Although there are some verbal references to the drug addiction of a central character, there is no sight of drug use.
This film is extremely violent and gory from beginning to end and uses very little CGI effects, therefore the blood and gore looks extremely realistic and can be disturbing to some viewers. MPAA/USA - Rated R for strong bloody violence and gore, some sexual content and language. BBFC/UK - Rated 18 (strong bloody violence, gory horror, very strong language).