The Terrifier films, which follow the exploits of serial killer Art the Clown, have earned a reputation with viewers for the film’s extreme levels of violence and gore. The previous film reportedly made people “pass out” in theatres which Leone denied was a “marketing ploy” created to promote the independent movie.

A new horror movie is so "traumatising" and "depraved" that members of the audience threw up and walked out of the opening scene at the premiere.