Genuinely one of the worst live actions I've ever seen. It looks like an old JAV with that quality, the only time the guro looked realistic was when Mai's hand gets stabbed. Otherwise, you can tell it's props. Especially when Mai gets her eye ripped out, it looks like a Japanese silicone sex doll. The live action strayed so far away from the original. Also the beginning was just comical, blood spraying out like it's coming out of a perfume atomizer? It could've been a very graphic eroguro just as the manga is vomit inducing but it really barely has much scenes. Everything feels dragged out. Definitely do not recommend to anyone, even beginners in horror. It's just bad.