All the violence in the movie is graphic, sadistic, and all onscreen.
The killers face had been melted off in the first movie, so the opening scenes of this movie is the doctors trying to reconstruct his face. All the bloody details are seen such as skin being graphed and sewn on, his eyeballs being reconnected, and his jaw being bolted back together. Very disturbing.
The killer uses an adhesive to keep his mask on, which often is ripped off and blood runs from the adhesive ripping skin.
A woman is attacked in a bathroom. The killer slices her mouth into a "chelsea grin" and her mouth splits graphically and blood pours from her face. She is then killed by having the knife stabbed into her stomach and wrenched around, all in full view. Her corpse is later found in a bed with her torso cut up and one of her breasts removed. This is shown in a lingering shot that shows all the internal, bloody details.
A teenager is stabbed through the side of her face graphically and the knife is moved up and down until half of her face falls off.
A young woman is stabbed in the stomach and the knife is dragged up her torso, slicing open her whole chest. She is then thrown into a mirror and stabbed in the mouth.
A woman is stabbed in the stomach and begins to crawl away from the killer. He throws a weapon at her that has several knives positioned in a circle like scissors, but misses leaving it stuck into the ground ahead of her. He then shoves her mouth onto one of the scissor knives and pushes down on her head with his foot, causing the blades to slowly rip out the sides of her face. VERY GRAPHIC AND DISTURBING!! Her body is found later with the top half of her head ripped off.
A man gets a tattoo on his chest. The needle is seen closeup as it inks his skin. The fresh tattoo is seen afterwards with small bits of blood all over.
A man is stabbed with two knives in the back of his head and they are slowly and graphically dragged up his face until his head splits in half. His head is seen afterwards with all the inside details fully visible.
A man has a large saw imbedded in the side of his face.
A killer is hung up by chains on the side of a fence. Another killer viscously slices his neck and chest several times until he is decapitated.
A young woman is stabbed graphically through the leg with a knife, and has to rip it out with bloody results. The killer later digs his finger into the wound briefly.
Three men try to subdue the killer but are all killed violently. One has an axe shoved into his face, one has his throat slit which sprays blood everywhere, and one is impaled on several meat hooks before getting his throat slit with a gigantic knife.
A man has his head held underwater as a large battery electrocutes him. His skin is seen breaking apart and spewing blood.
The killers face, even after reconstruction, is very disturbing and gruesome to look at.
After the credits, a woman takes an FBI agents gun and puts it in her mouth. She shoots and a large amount of blood spatters the wall behind her, all onscreen. However, this all happens very fast and the screen cuts to black abruptly after the blood is seen.
Several other stabbings, kidnappings, strangulations, and other violent attacks, most of the time with very bloody results.
Several bodies are seen in caskets, all with gruesome injuries and mutilations.
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