Tokyo Tribes/Nightmare Fuel

A particular scene from the first episode has an incredibly gruesome anal rape and death. This would not be so bad except for the astonishing amount of blood, the horrible, horrible imagery present, the fact that the guy raping the other is easily twice his height and 4 times his weight not to mention the sound.
Some of the content in later episodes isn't much better. Two episodes after the event, said fat guy's Bishonen Casanova son (who is much thinner than he is) splits a gangster's face open by slicing his face twice with a knife. Sure, they may have cut away before it got really gruesome, but still... It deserves to be up there.

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