Guts, Gore, and Splatter – 20 Recent Viscerally Nasty Horror Movies That Will Make You Sick
Welcome to Ranking Horror. If your idea of a great horror night involves squirming in your seat, covering your eyes, and making yourself feel horribly nauseous, you’ve come to the right place. Today, we are exploring the bloody, visceral, and downright disgusting side of the horror genre. This is Guts, Gore, and Splatter – 20 Recent Viscerally Nasty Horror Movies That Will Make You Sick rated by sheer nastiness.
Table of Contents
All of these movies released in the 2020s so you should be able to find something quite recent to turn your stomach. This list is inspired by the recent release of another seriously gory movie – Evil Dead Burn. Don’t expect to see that movie turning up, though. This list is an accompaniment to that.
From proper extreme body horror and relentless slasher onslaughts to psychological nightmares that turn the human body inside out while weaving a tapestry of sheer agony, these films tear open boundaries with a rusty scalpel and gouge at the gooey insides.
We’ve packed this list with viral blockbusters, international splatter masterpieces, and raw indie carnage to give you a few options that you may just have missed. Whether it’s needle-in-the-eye practical effects, gore explosion, or seriously disturbing psychological body horror, these entries prove that modern horror is more fearless and stomach-churning than ever before. Let’s dig in!
⚠️ Content & Spoiler Warning ⚠️
We are breaking down extreme gore, explicit body horror, and key plot points for these titles. Extremely graphic depictions of violence, self-harm, and bodily mutilation are discussed below. Consider yourself warned!
| Rank | Movie Title (Year) | Gore Factor |
|---|---|---|
| 1 | The Sadness (2021) | Unchecked Depraved Carnage |
| 2 | Terrifier 3 (2024) | Savage Slasher Practical Splatter |
| 3 | Project Wolf Hunting (2022) | Liters of Industrial Scale Blood |
| 4 | When Evil Lurks (2023) | Shocking & Unforgiving Brutality |
| 5 | The Substance (2024) | Monstrous Modern Body Horror |
20. The Price We Pay (2022)
- Director: Ryûhei Kitamura
- Cast: Emile Hirsch, Stephen Dorff, Gigi Zumbado
- IMDb: 4.9/10
Why it Ranked: Ryûhei Kitamura (The Midnight Meat Train) isn’t exactly known for making calm and quiet movies. The Price We Pay is no exception. Starting out as a fairly tense pawn-shop heist gone wrong, the film suddenly shifts gears into a gory house-of-horrors when two criminals take a hostage to a remote farm. The third act transforms into a full blown industrial organ-harvesting nightmare complete with bone-crushing machinery, scalpel dissections, and tons of splatter chaos. It’s actually far nastier than the early parts of the film would have you believe. Align your expectations because this is bottom of the list for a reason but there is still plenty of gore to look forward to.
The Nasty Factor: The film pulls no punches when it comes to mutilation. Seeing victims pinned down in a mad doctor’s makeshift dungeon while organs are removed with industrial tools makes for a pretty damn squirm-inducing experience.
Synopsis: After an aborted pawn shop robbery, two criminals take a hostage and seek refuge at a remote farmhouse, unaware that the residence holds a sinister dungeon run by a sadistic surgeon.
Where to Watch: Tubi, Amazon Prime (Rent/Buy)
19. The Monkey (2025)
- Director: Osgood Perkins
- Cast: Theo James, Tatiana Maslany, Elijah Wood
- IMDb: 5.9/10
Why it Ranked: Fresh off the success of Longlegs, director Osgood Perkins adapted Stephen King’s classic short story into a wickedly funny, and brilliantly over the top, gory splatterfest. This is another entry into the list that absolutely revels in farcical amount of the red-stuff. Don’t expect seriousness, this is a splatterfest of the splatteriest kind.
The Nasty Factor: Perkins embraces full-on Final Destination-style chaos with insanely elaborate, splatter-heavy, Rude Goldberg-esque death set-pieces. Necks snapped, bodies shredded, and freak accidents delivered with maximum blood splatter elevate this cursed-toy film into gory greatness.
Synopsis: Twin brothers discover a cursed toy monkey in their father’s attic, unleashing a chain of horrific, violent deaths that force them to reunite years later to destroy it once and for all.
Where to Watch: Hulu, VOD
18. The Feast (Gwledd) (2021)
- Director: Lee Haven Jones
- Cast: Annes Elwy, Nia Roberts, Julian Lewis Jones
- IMDb: 5.6/10
Why it Ranked: Look, it’s Welsh, I am Welsh, I had to put it on this list. It’s slow, though, so you have to stick with it. Shot entirely in the Welsh language, The Feast starts as a slow-burn environmental folk horror before absolutely exploding into a seriously disgusting climax. The third act delivers an avalanche of stomach-churning body horror and decay that I think viewers will probably be quite surprised by.
The Nasty Factor: From characters eating glass-laced dishes to maggot-infested wound dissections and self-mutilation at the dinner table, The Feast mixes slow-burn, high-class elegance with some of the most stomach-churning dining scenes ever filmed.
Synopsis: A young, enigmatic woman serves a wealthy family and their guests at a dinner party in remote Wales, slowly orchestrating a gruesome reckoning for their greed.
Where to Watch: Hulu, AMC+
17. Match (2025)
- Director: Danishka Esterhazy
- Cast: Humberly González, Shaeane Jimenez, Dianne Simpson
- IMDb: 5.3/10
Why it Ranked: Danishka Esterhazy really did reply “yes” when audiences asked just how disgusting she could maker her 2025 Tubi Original Match. It’s not so much that this movie is gory as just plain nasty. There’s some scenes here that caused a massive amount of disgust in the horror community. When I was reviewing it for our sister site Knockout Horror, I was left continually questioning how this made it as a Tubi Original. It’s quite shocking.
The Nasty Factor: Incestuous relationships between a mother and her heavily disfigured son should probably be enough to sum up the nasty factor here. It goes further than that, though. Let’s just say, have a sick bucket at the ready for a few of the moments.
Synopsis: A lonely woman’s seemingly perfect match from a dating app turns into a fight for survival when she realises she has been caught by a catfish.
Where to Watch: Tubi
16. Primate (2025)
- Director: Johannes Roberts
- Cast: Johnny Sequoyah, Jessica Alexander, Troy Kotsur
- IMDb: 5.8/10
Why it Ranked: I really enjoyed this monkey-gone-mad horror movie. Directed by creature-feature veteran Johannes Roberts (47 Meters Down), Primate turns a beloved family pet into one of the most violent antagonists in recent horror history. When a domesticated chimpanzee contracts a violent strain of rabies, the creature turns against its owners and anyone unlucky enough to be in the immediate vicinity. Primate combines primal panic with some seriously brutal practical creature attacks to make you wince on more than a couple of occasions.
The Nasty Factor: Chimpanzee attacks in real life are terrifying enough due to the animal’s brute force, and Primate leans heavily into that visceral reality. Facial maulings, torn limbs, and flesh-ripping strikes deliver some of the nastiest animal-attack violence seen on screen in years. One kill, in particular, is right up there with the nastiest I have seen in a creature feature.
Synopsis: A family sleepover turns into a horrific fight for survival when the family’s pet chimpanzee contracts rabies and unleashes savage, unpredictable violence.
Where to Watch: Paramount+, VOD
15. V/H/S/Halloween (2025)
- Director: Paco Plaza, Casper Kelly, Anna Zlokovic, Alex Ross Perry, Bryan M. Ferguson
- Cast: David Haydn, Samantha Cochran, Natalia Montgomery
- IMDb: 5.7/10
Why it Ranked: The long-running found-footage anthology franchise returned to its seasonal roots with V/H/S/Halloween. This might actually be the goriest entry in the entire series. Certain moments are genuine splatter carnage. Packing eight varied Halloween-themed tapes into one anthology format, the movie pushes practical bloodletting to its absolute limits through a dirty, low-fi VHS lens. I actually think this is one of the weaker V/H/S films but it is a great option for gore hounds.
The Nasty Factor: Found footage inherently makes violence feel just a little more intimate and a bit more dangerous. Standout segments featuring toxic soda-induced body mutations and twisted candy factory traps that feature some very nasty practical gore effects that will make your skin crawl.
Synopsis: A mysterious collection of Halloween-themed videotapes unleashes a series of twisted, blood-soaked tales, turning trick-or-treating into a gory struggle for survival.
Where to Watch: Shudder
14. Abigail (2024)
- Director: Matt Bettinelli-Olpin, Tyler Gillett (Radio Silence)
- Cast: Melissa Barrera, Dan Stevens, Alisha Weir
- IMDb: 6.5/10
Why it Ranked: Radio Silence brought their signature blend of dark humor and ridiculous amounts of bloodletting to this vampire-heist mashup that is simply a ton of fun. The film is an absolute bloodbath that literally paints the walls red. Think explosions of claret and you are in the right ballpark. It’s actually a really fun movie with a ton of laughs, too.
The Nasty Factor: Vampiric explosions absolutely everywhere! When vampires meet their end in Abigail, they detonate like blood bombs, soaking the remaining cast in disgusting showers of guts, blood, and visceral chunks. It’s ridiculously gory and loads of fun.
Synopsis: A group of criminals kidnaps the young ballerina daughter of a powerful underworld figure, only to discover she is a bloodthirsty vampire who hunts them one by one.
Where to Watch: Peacock, Amazon Prime (Rent/Buy)
13. Grafted (2024)
- Director: Sasha Rainbow
- Cast: Joyena Sun, Jess Hong, Eden Hart
- IMDb: 5.6/10
Why it Ranked: This New Zealand coming-of-age body horror film offers a wicked take on cosmetic obsession and social acceptance. It starts pretty slow before the movie escalates into a squirm-inducing nightmare as our protagonist begins harvesting skin from popular peers to build the “perfect” face.
The Nasty Factor: Scalpels, peeling epidermises, and biological stitching take center stage. It’s the detailed close-ups of human skin being carved away and grafted onto new hosts that really turn the stomach. The body-horror scenes are pure nightmare fuel for anyone with a fear of medical procedures.
Synopsis: A shy medical student travels to New Zealand to finish her late father’s scientific work, resorting to horrific biological grafting to transform herself at any cost.
Where to Watch: Shudder, VOD
12. Titane (2021)
- Director: Julia Ducournau
- Cast: Agathe Rousselle, Vincent Lindon
- IMDb: 6.4/10
Why it Ranked: Julia Ducournau’s Raw (2016) was already pretty nasty, in parts, but this movie takes it to a whole new level. Winning the prestigious Palme d’Or at Cannes, Titane could best be described as a seriously shocking, and often confusing, cinematic experience. The film blends extreme metal-and-flesh body horror with a surprisingly poignant story of grief and human connection.
The Nasty Factor: Self-administered nose-breaking, oil leaking from breasts, and severe physical bodily transformations make Titane an intense and full-blown sensory assault that pushes body horror into bizarre new art-house territory.
Synopsis: Following a series of unexplained crimes, a young woman with a titanium plate in her skull goes on the run and assumes the identity of a long-lost boy.
Where to Watch: Hulu, Kanopy
11. Bring Her Back (2025)
- Director: Danny Philippou, Michael Philippou
- Cast: Sally Hawkins, Billy Barratt, Jonah Wren Phillips
- IMDb: 7.1/10
Why it Ranked: Following up their enormous breakout hit Talk to Me, the Philippou brothers returned with another seriously unsettling, grief-stricken supernatural shocker. Starring the brilliant Sally Hawkins, I actually think that this movie is a hell of a lot nastier than their previous effort. Some of the scenes made me turn away from the screen.
The Nasty Factor: Just like their debut, the directors pull zero punches when showcasing supernatural possession and body harm. Self-inflicted injuries, bone-crunching contortions, and grueling practical effects give the film a nasty, lingering bite. One scene featuring a character chewing on a knife is seared into my brain forever thanks to how horrifying it is.
Synopsis: A grieving mother turns to an unholy, dark ritual in a desperate attempt to resurrect her lost daughter, unleashing supernatural forces that shatter her home and sanity.
Where to Watch: Max, VOD
10. Saw X (2023)
- Director: Kevin Greutert
- Cast: Tobin Bell, Shawnee Smith, Synnøve Macody Lund
- IMDb: 6.6/10
Why it Ranked: It might have come nearly twenty years later but this movie acts as a direct interquel between Saw and Saw II. The thing I love about Saw X is that it gave fans exactly what they wanted: Tobin Bell front and center in an emotionally grounded, wildly gory storyline. Desperate for a cancer cure, John Kramer travels to Mexico for an experimental medical procedure, only to discover he’s been scammed. Naturally, the traps that follow are extremely personal, very precise, and stomach-turningly disgusting.
The Nasty Factor: The mechanical traps in Saw X are probably the most gruesome in the franchise. Bone marrow extraction, self-performed brain surgery, and intestinal rope pulls test the even the toughest audience’s stomach to its absolute limits. It’s genuinely hard to watch, at times.
Synopsis: A sick and desperate John Kramer travels to Mexico for a risky experimental medical procedure, only to discover the entire operation is a scam targeting the vulnerable.
Where to Watch: Starz, Amazon Prime (Rent/Buy)
9. Possessor (2020)
- Director: Brandon Cronenberg
- Cast: Andrea Riseborough, Christopher Abbott, Jennifer Jason Leigh
- IMDb: 6.5/10
Why it Ranked: This is Brandon Cronenberg digging right into the bottom of the body horror bag. Possessor is a sleek, cold, and weirdly hypnotic sci-fi that’s also pretty damn disgusting. The movie explores identity loss through mind-bending visuals and some shockingly explicit violence.
The Nasty Factor: Cronenberg’s depiction of assassination is brutal and pretty damn unrelenting. Meat pokers inserted into eye sockets, lingering knife wounds, and jaw-shattering attacks are shot in slow-motion detail that is deliberately designed to stay burned into your brain.
Synopsis: An elite corporate assassin uses brain-implant technology to inhabit other people’s bodies and execute high-profile targets, but finds herself trapped inside a host who fights back.
Where to Watch: Hulu, Kanopy
8. In a Violent Nature (2024)
- Director: Chris Nash
- Cast: Ry Barrett, Andrea Pavlovic, Cameron Ironside
- IMDb: 5.5/10
Why it Ranked: Look, this is an “ambient slasher” so don’t expect the violence to come thick and fast but, when it does, it is some of the most brutal in slasher history. Chris Nash’s festival hit takes standard genre tropes and flips the perspective to give us an intimate, up-close view. Following an undead killer named Johnny in third-person, wide-angle tracking shots, the film plays out like a slow, lazy walk through the wilderness punctuated by some of the most insanely creative, shocking kill sequences ever conceived.
The Nasty Factor: The infamous “yoga kill” sequence alone secures this film’s spot on the list. Watching a human body folded inside out with over-the-top practical detail is a moment that sent shockwaves through horror audiences worldwide. For me, it’s the log-cutter scene that really stands out. I’ll say no more, go and watch it.
Synopsis: When a locket is removed from a collapsed fire tower in the woods, it resurrects the vengeful undead corpse of Johnny, who embarks on a silent, gruesome rampage.
Where to Watch: Shudder, AMC+
7. Beaten to Death (2022)
- Director: Sam Curtain
- Cast: David Christoffersen, Thomas Roach, David S. Mitchell
- IMDb: 4.9/10
Why it Ranked: This movie is a great example of one of those ranking websites conundrums. It’s not a great film but it fits the theme of the list better than most so it gets a high ranking. Let’s be honest, Australian horror has a reputation for being pretty damn depressing and nasty. Beaten to Death takes that to heart in the most visceral way possible. The film drops you into an unending gauntlet of raw wince-inducing physical trauma as a man is relentlessly hunted and pummeled across the desolate Outback. It’s a properly mean-spirited, grueling endurance test that relies on heavy practical makeup effects to show every broken bone and torn piece of flesh. That practical nature actually makes it even more unsettling. Again, not a great film but very nasty indeed.
The Nasty Factor: This isn’t really stylised or clean violence; it’s gritty, realistic, and extremely dirty. Eye-gouging, exposed fractures, and facial disfigurement are delivered with uncomfortable realism that leaves you feeling battered and bruised just watching it.
Synopsis: After a desperate choice leads to a fatal confrontation in the Australian Outback, a man must navigate a brutal game of cat and mouse against twisted locals bent on destroying him.
Where to Watch: Tubi, Screambox
6. Evil Dead Rise (2023)
- Director: Lee Cronin
- Cast: Lily Sullivan, Alyssa Sutherland, Nell Fisher
- IMDb: 6.5/10
Why it Ranked: Transporting the deadite carnage from the classic cabin in the woods to a dingy, condemned Los Angeles high-rise, Lee Cronin injected new life into the iconic franchise, once again, after a decade long hiatus. Evil Dead Rise is a relentless, claustrophobic bloodbath that never takes its foot off the gas. What more would you expect?
The Nasty Factor: Cheese graters to the shins, swallowed glass, and an industrial woodchipper finale that sprays hundreds of gallons of fake blood make this one of the goriest mainstream horror releases in recent memory. It wouldn’t even be outdone by its successor, Evil Dead Burn a few years later.
Synopsis: A reunion between two estranged sisters is cut short by the rise of flesh-possessing demons, thrusting them into a primal battle for survival in an apartment building.
Where to Watch: Max, Amazon Prime (Rent/Buy)
5. The Substance (2024)
- Director: Coralie Fargeat
- Cast: Demi Moore, Margaret Qualley, Dennis Quaid
- IMDb: 7.2/10
Why it Ranked: Coralie Fargeat (Revenge) delivered an instant modern body-horror classic that took global pop culture by storm and earned itself a bunch of awards and even Oscar nominations. Satirising ageism and Hollywood beauty standards, the film features phenomenal performances from Demi Moore and Margaret Qualley, and culminates in an outrageous third-act practical effect blowout that evokes Cronenberg and Carpenter at their absolute weirdest and most wonderful.
The Nasty Factor: Spine-splitting cellular birthing scenes, deteriorating flesh, fingers pulled off hand joints, and an absolutely ridiculous, yet completely grotesque, hybrid monster climax bursting with blood cannons make this a visually staggering body horror epic.
Synopsis: An aging Hollywood star uses a black-market cell-replicating substance to create a younger version of herself, leading to disastrous consequences when the rules of sharing time are broken.
Where to Watch: MUBI, VOD
4. When Evil Lurks (2023)
- Director: Demián Rugna
- Cast: Ezequiel Rodríguez, Demián Salomón, Silvina Sabater
- IMDb: 7.0/10
Why it Ranked: Argentine director Demián Rugna followed up his immense success with Terrified by shocking horror audiences with this uncompromising, utterly bleak demonic possession story. When Evil Lurks breaks every unwritten rule in modern horror cinema, going completely out of its way to repulse and shock while sparing absolutely no one.
The Nasty Factor: The movie features several genuinely shocking moments of taboo violence, including a harrowing livestock attack and a graphic axe confrontation that will make even seasoned gorehounds physically recoil.
Synopsis: In a remote village, two brothers find a man infected by a demon about to give birth to evil itself, and their failed attempt to dispose of him unleashes an uncontrollable plague.
Where to Watch: Shudder, AMC+
3. Project Wolf Hunting (2022)
- Director: Kim Hong-sun
- Cast: Seo In-guk, Jang Dong-yoon, Sung Dong-il
- IMDb: 6.1/10
Why it Ranked: South Korean action-horror Project Wolf Hunting allegedly used over 2.5 tons of fake blood during production, and every single drop is on screen for everyone to see. A violent hijacking attempt turns into an outright massacre when a genetically modified supersoldier awakens in the hold and starts tearing people to shreds.
The Nasty Factor: Non-stop arterial spray covering the walls, floor, ceiling, and camera. Heads are crushed like watermelons, limbs are ripped off bare-handed, and blood gushes from severed arteries continuously. It’s an over-the-top, industrial-scale splatterfest that is going to bring huge smiles to the faces of gorehounds.
Synopsis: While heavily guarded criminals are transported by sea from Manila to Busan, a coordinated escape attempt unleashes a monstrous, genetically modified killer onboard.
Where to Watch: Tubi, Peacock
2. Terrifier 3 (2024)
- Director: Damien Leone
- Cast: Lauren LaVera, David Howard Thornton, Elliott Fullam
- IMDb: 6.2/10
Why it Ranked: I’m not even a big fan of this series but it absolutely had to be on the list and the third movie is probably the most taboo-breaking. Art the Clown returns for a holiday-themed slasher spectacle that proves unrated, boundary-pushing gore can still conquer the global box office. Damien Leone doubled down on his signature mastery of practical makeup effects, unleashing Art upon Miles County during Christmas Eve. Unapologetic, completely tasteless, and insanely bloody, Terrifier 3 solidifies Art’s status as a modern slasher horror icon.
The Nasty Factor: The infamous shower chainsaw setpiece, horrible scenes involving glass used in an entirely inappropriate way, a ridiculous number of blown up children, and freeze-frame facial destruction set a new high-water mark for mainstream tasteless slasher practical effects carnage.
Synopsis: Art the Clown unleashes a wave of horrific carnage upon the unsuspecting residents of Miles County as they drift off to sleep on Christmas Eve.
Where to Watch: Screambox, Amazon Prime (Rent/Buy)
1. The Sadness (2021)
- Director: Rob Jabbaz
- Cast: Regina Lei, Berant Zhu, Johnny Wang
- IMDb: 6.4/10
Why it Ranked: This had to take the top spot on our list purely for how much controversy it caused in the horror community. Rob Jabbaz’s apocalyptic Taiwanese nightmare The Sadness goes to some seriously dark places in its pursuit of splatter notoriety. Inspired by Garth Ennis’ infamous comic series Crossed, the film depicts a viral outbreak in Taipei that mutates the human brain, wiping out empathy and forcing infected individuals to indulge their most twisted, sadistic urges. It is a completely relentless and entirely uncompromising portrait of societal collapse that remains unmatched in raw, visceral impact.
The Nasty Factor: The Sadness is a non-stop gauntlet of extreme gore, sexual violence, and depravity; what more do you need from a wince inducing horror movie? From subway car massacres involving bone saws to ocular mutilations and rivers of blood flooding public spaces, this is quite simply one of the nastiest, most vicious horror movies ever released.
Synopsis: A young couple attempts to reunite across the city of Taipei as a mutated virus transforms everyday citizens into sadists driven to commit the most depraved acts imaginable.
Where to Watch: Shudder, AMC+
Horror That Leaves a Mark… Literally
So there you have it – twenty films that prove extreme horror is alive, kicking, and bleeding profusely all over the rugs and carpet. Whether you love the practical effect artistry of splatter horror, the psychological sting of modern body horror, or apocalyptic viral madness, these titles push the absolute limits of what modern cinema can get away with.
My personal favourite film on this list is The Substance but, when it comes to which movie made me wince the most, it has to be a toss up between Bring Her Back and In a Violent Nature. The knife chewing scene forced me to turn away but the log-splitter kill towards the end of In a Violent Nature is one of the most cruel in horror history. Stay spooky and thanks for reading.
📹 Quick Picks: Nasty Horror Highlights
- 🏆 The Ultimate Splatter Apocalypse: The Sadness (2021)
- 🤡 The King of Slasher Gore: Terrifier 3 (2024)
- 🧪 The Modern Body Horror Masterpiece: The Substance (2024)
- 🩸 The Bloodiest Action-Horror Feast: Project Wolf Hunting (2022)
- 🪓 The Most Shocking Demonic Nightmare: When Evil Lurks (2023)
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