The movie is basically a festival of shock and gore, but it does show that women don't necessarily need to be victims in this kind of movie. They can fight back -- and indeed, be stronger than just about anyone else. Although it ultimately doesn't feel like much of a victory for the heroine, she at least gets to survive.
Positive Role Models & Representations
Many characters die in many gruesome ways, with lots of blood and gore. Characters are killed with arrows, knives, axes, screwdrivers, blenders, and machetes; heads are smashed; necks are sliced with wire; heads are cut off; and there's a shooting.
A few women are shown topless, and sex is implied between various characters. One character wishes to have sex with a man "on a bed next to his dead mom."
Language isn't constant but does include many uses of "f--k," plus "s--t," "damn," "oh my God," and more.
Ease of Play
Adult characters are shown drinking casually (i.e. at dinner). A character takes some Vicodin.