I personally don't go for the faux snuff garbage that seems to have the gore-hounds frothing at the mouth.
Films (and use than therme loosely) like "August Underground" "American Guinea Pig" "Atroz" "the Brown Bunny" etc. Just leaves me shrugging my shoulders at the incompetent and stupidity of it all.
This film however, really got to me. It's professionally made, sick as all hell and left me shaken and that is exactly what I want, not to be expected to revel in the carnage but to fell distressed and sickened by the atrocities on screen. This film did the job expertly and therefore it will be the benchmark I hold other films of its kind to going forward.
As a watch it represents one of utter brutally. I love it.
Hope you "enjoy" it.
