Orphan

Extreme violence, much of it involving children. A young girl hurls a peer out of a play set, smothers another child to death, and points a loaded gun point blank at a third. She also kills adults via hammer beating, stabbing, and shooting. Perils include fire, vehicular endangerment, crashing through a frozen pond, fistfights, and more. A character is kicked in the head, hard, and the shot lingers on his/her breaking neck. Discussions of beatings and murders. Extensive blood, including violent surgical imagery. A character breaks his/her own arm to feign abuse.

A young child dresses and acts in a deliberately sexual, provocative manner, although her advances are rebuffed. A married couple engages in sexual acts in bed and in the kitchen; adults are seen stripped down to their underwear. A group of pre-teen boys looks at a pornographic magazine (nudity is shown). Sex is discussed with a younger child.

Extensive strong language, including "f--k," "s--t," "bitch," "prick," "crap," "a--hole," "oh my God," and more. "Retard" is frequently used as an epithet, and "Jesus freak" is used once.

Extensive discussion of how one main character has had a problematic relationship with alcohol in the past, plus depictions of her being tempted to drink again. Another main character smokes cigarettes and gets drunk drinking an entire bottle of wine; viewers see some events from his woozy, boozy perspective.