The UK release was cut, the distributor was required to make 32 individual cuts to scenes of sexual and sexualised violence, sadistic violence and humiliation, and a child presented in an abusive and violent context. In this case, cuts included: a man masturbating with sandpaper around his penis; graphic sight of a man's teeth being removed with a hammer; graphic sight of lips being stapled to naked buttocks; graphic sight of forced defecation into and around other people's mouths; a man with barbed wire wrapped around his penis raping a woman; a newborn baby being killed; graphic sight of injury as staples are torn away from individuals' mouth and buttocks, in order to obtain an 18 classification. Cuts required in accordance with BBFC Guidelines, policy and the Video Recordings Act 1984. An uncut classification was not available.