- Mary getting raped by Grant; she was roofied and could not move but was ''conscious''.
- Dr. Grant's fate. He arguably deserved it, but it's still horrifying.
- As mentioned above, Billy has a fantasy of Mary stabbing him with a scalpel.
- A lot of Mary's customers after surgery are nothing short of horrific. Though unlike Grant, these are at least willing and paying customers.
http://tvtropes.org/pmwiki/pmwiki.php/NightmareFuel/AmericanMary
FollowingNightmare Fuel / American Mary
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