Roth's direction is unflinching and unapologetic, presenting the audience with a visceral and often uncomfortable viewing experience. The film's use of graphic violence, gore, and mutilation is not done for shock value alone; rather, it serves to underscore the gruesome reality of a world where human life is reduced to a mere commodity. The infamous "torture scenes" have become a hallmark of the film, sparking debate among critics and audiences about the role of violence in cinema.