Lars' emotional disturbance leads him to believe that a life-sized sex doll is his girlfriend; on a doctor's advice, his fellow townspeople go along with the idea in order to ease his upset. Lars' brother is very distressed by his behavior.
A minor scuffle between Lars and Karin (she tackles him), meant as comedy.
The film focuses on Lars' "romance" with an inflatable sex doll, so it includes discussions of porn, sexual activity, and desire. A couple of shots of a porn Web site show girls in underwear. Brief cleavage shot, plus shot of Bianca the doll's bare bottom. Brief discussion of homosexuality, as neighbors think that Lars might be gay.
Minor language, including a couple of uses each of "hell" and "damn." Some slangy allusions to sex (i.e., "the right cowboy to tame this wild filly," "slutty hunk of silicone").
A background character smokes a cigarette.