Parental Guidance for The Grudge 4

Sex & Nudity: 

Some partially naked women, but no frontal nudity.

Some sexual touching.

A strong consensual sex scene.

Violence & Gore: 

The film begins with an autopsy on Naoko, they completely remove her skull and brains and his her stomach opened and removed, suddenly a hand comes out of Naoko's body with a completely covered in blood and gore Onryo spirit of Naoko coming out. (very gore).

A woman tries to get out of the Saeki House and is killed off-screen. Her body is shown in an Onryo like imago.

Two men wake up to see Kayako's spirit. One of them has his legs paralyzed and his neck broken. You can hear a breaking sound which can make you cringe.

A flashback of a man brutally murdering his wife, son and pet cat.

A man has a nightmare of his friend's head being impaled by an ice pick.

Some brief flashbacks from previous murders, but no really blood.

A man is constantly followed by Kayako. Sometimes she is completely covered in blood.

A woman has her tongue ripped off, killing her.

The bodies of The Grudge 3 are shown. Of course they are very bloody.

A woman is shot & killed.

Profanity: 

Some "god-damn's" and 1 F-word.

Also some sexual references.

Alcohol/Drugs/Smoking: 

Some significant smoking and drinking.

Frightening/ Intense Scenes: 

The whole film has an evil presence. The film is quite scary.

The ending is bloody.

Rated R for violence, disturbing images, some language and some sexuality.