- Two characters kiss passionately. This scene is extremely prolonged, lasting 2-3 minutes. No nudity shown and this is easy to skip.
- Some guy is peeing.
- You see a man and a woman start to kiss slowly and the woman starts to slip off her dress. Bare breasts shown after she takes off dress. Scene lasts about 1-2 mins.
- A woman makes a hand gesture implying her husband has a large penis; this may fly over young viewers' heads.
- A man's buttocks is seen at the chiropractor. Not sexual. No other nudity shown.
- A second brief scene of lots of kissing and touching, but the worst they touch is the stomach. No nudity and not explicit.
- A 16 year old undressed and we see his bare chest while he's in the shower. Brief and not sexual.
- A man is shot in the eye and dies. Blood pours out of his eye. Shocking and graphic.
- This film is very violent. The violence is much more realistic than most films made now.
- 9 people are assassinated. These scenes are bloody.
- The violence, although bloody at times, is not shown constantly.
- A woman inside in a car is shown blown up.
- A man is shot four times by another man through a glass door, blood on the glass is seen. A man and woman in bed are shot to death with machine guns, brief but a bit bloody.
- No uses of the F word considering it is rated R, this is surprising.
- Some of the movie's plot is centered around drugs and drug dealing. But no actual activity is shown with illegal drugs.
- Although almost every character in the movie is a criminal, some deaths may still be emotional.
- For adult audiences only due to its graphic nature.
- The scene with the horses head is especially disturbing as a real horse head was used.
- The film sometimes has a dark tone, with some of the death scenes being hard to watch.
- The assassinations are very intense, the tollbooth and revolving-door shootings especially.
- A man is machined gunned to death. This scene is very violent and very brutal. This is probably the most brutal scene and it lasts for quite a long time.
- A man finds a horses head in his bed when he wakes up. Tons of blood and gore is soaking the man and the bed. He screams and cries.
- Two men in a restaurant are graphically shot in the head. Blood sprays out of their heads.
- A montage of gangsters being killed. One gangster locks a revolving door and traps & shoots a man through a glass window multiple times. Two people are machine gunned to death in bed. A man is shot in the eye. Two other people are shot. Lots of blood is shown.
- Two uses of the word "Vaff*nculo", Italian for "F*ck you".
- 7 uses of "godd*mn".
- Finn*chio (italian for "f*gg*t") is used.
- 9 uses of "hell"
- 4 uses of "God" in vain.
- 2 uses of "Jesus Christ" in vain.
- The N word is briefly used.
- The issue of child drug use is briefly discussed, and the Commission (the Sicilian American Mafia's top organization) decides not to deal in drugs near schools to avoid it.
- Some casual smoking and drinking.
- A minor theme of drug trafficking is present in the movie. It is presented as a lucrative, but dirty, dangerous business.
- The depiction of domestic violence in the movie is very intense and can be upsetting.
- The overall tone of the movie is very dark and depressing, especially during the second half.
- Multiple major character deaths that may upset some viewers.