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Wow!. I am not sure here, but this movie is quite shocking and features great performances by two great actors (and just about nobody else) The story moves along a little slow at times but it definitely picks up momentum later on, and maybe goes a little too far. I would recommend it, with caution, you must like this genre and not be easily bothered by gruesome and explicit content.
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Haven't seen this movie yet but it seems to me that your ratings pretty much agree with what I think.
This is not your average movie... could be a masterpiece, maybe. I think it's an independent production. I don't want give away anything, but I can tell you that a lot of people may be offended by it. The director was going through some depression and whatever he was feeling shows in the movie. If you think you can handle anything he may throw at you then watch this movie.