Overall, it's no worse or more brutal in my opinion then 2-4 except the deaths are a little more realistic. Horror movies shouldn't be based on violent content but by how strong your stomach is to handle seeing it. Language and sexual content is nothing at all in the movie i didn't even notice any swearing.
*Spoilers* (read this only if you want to know all the deaths to judge and prepare yourself)
Premontion: A girl is impaled on a ship mast when the bridge collapses, a man is pushed against the front of a bus when it falls off the bridge and it hits water killing him, a woman falls into the water safely and then a car falls off the bridge killing her, a wire from the bridge swings violently graphically kills a man (gory), hot tar burns a mans body leaving him all bloody and then he falls off the bridge, rebars are released off a truck and impaled through a mans head and body and then he hits the base of the bridge with a very gory result, a metal sheet slices a man in half.
Death scenes (BIG SPOILERS,ONLY READ IF YOU WANT TO PREPARE):
-A girl steps on a nail on a balance beam and then falls into a bowl of powder blinding another girl swinging on an gymnastics bar
causing her to release falling awkwardly and graphically snapping in half with her legs curled over her head and her bones broken piercing through the leg. (Gruesome and very gory)
-A man recieves acupuncture and a fire causes him to fall from the bed having the needles pierce through his body, he wakes up removes a needle (bloody) and crawls from a fire and then a Buddah statue from the wall falls crushing his head only leaving him with a bloody stump. (in my opinion the goriest scene)
- after a laser eye surgery procedure goes wrong, a girl is cut in the eye by the laser and then tries to shield it with her hand only causing more bloody scars due to the laser. the doctor and two other people walk in and her eye is very bloody, she then steps on a teddy bears eye causing her heel to break and falls out the window of the building onto a car. Her eye rolls into the street and is hit by a car (squishing is heard)
-a man grabs on to a falling hook and is impaled through the chin and then the hook pierces out through the top of his head (surprising)
-a wrench is hurled from a fan into a mans skull (the wrench is seen through his eye area and it is very graphic and unexpected)
- a man kills another man with a large cooking skewer like object through his back and out through is chest (made for the 3D)
-a plane explodes killing hundreds
-a girl thrown from the plane is cut in half by the planes wing (brutal)
-a man is burnt to death in the planes fire
-the wheel from the plane crushes a man in a bar and his hand is thrown into the screen (comedic)
On top of the graphic death scenes there are many surprise scenes that will make you jump such as a meat blender so be ready and have a strong stomach but in reality if you've seen the previous films you'll be able to handle it!