Most horror movies receive an MPA rating of R, but some are so extreme and violent that they are deemed only appropriate for audiences 18 and over.
Content warning! This article contains references to extreme violence, sexual assault, animal cruelty, and murder.
11 A Serbian Film A Serbian Film might be the most disgusting movie ever made. It follows a struggling adult film performer who agrees to participate in an art film. However, it is actually a snuff movie, with a heavy focus on necrophilia. It is precisely as stomach-churning as it sounds, and has been banned in several countries. After several rounds of cuts, it managed to achieve an NC-17 rating in the US, but not without achieving the title of the most disturbing movie ever made.
8 100 Tears 100 Tears is an obscure B-movie released in 2007, but boasts some of the most violent scenes in splatter movie history. It follows two journalists pursuing a clown who is unjustly accused of sexual assault and subsequently enacts a violent killing spree. In fact, despite the tiny budget, 100 Tears has some pretty impressive gore sequences, each overseen by the haunting, lumbering clown. 100 Tears is a visceral exhibition of human torment and slaughter, earning its NC-17 rating.
5 Santa Sangre Avant-garde surrealism met extreme horror in 1989's Santa Sangre . It was directed by Chillian-Ukrainian filmmaker Alejandro Jodorowsky, who previously directed the surrealist movies The Holy Mountain and El Topo. It follows a young former circus performer, who escapes to a psychiatric hospital to find his mother, who has become the leader of a murderous, religious cult.
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