Siblings in a group held captive are in an incestuous relationship, and it is revealed they have been for a while. Later in the film, the brother is forced to rape his sister with a wine bottle while at gunpoint. This results in the wine bottle pulling out her organs and her dying. Another character is a grown man who was revealed to be a pedophile who had sex with a 13 year old girl. One character is revealed to be pregnant and another character is forced to give her an abortion, which results in her death. Another character gets his kidney removed and one gets a cancerous testicular tumor removed, both against their will and at gunpoint. One character is a trans woman and is mocked and brutalized for entertainment. There is excessive gore and sexual violence shown and mentioned, on and off screen.