It's a matter of being confrontational, which can be harder without nudity and hardcore gore but not impossible. Don't forget the Black Cat, Mad Love and the Raven. All of these movies are inflammatory and sexually transgressive and they don't have much of anything to put them at an R. Solid PG-13 horror happens, but it feels less organic nowadays and has to be sort of Jamesian.
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Horror and Bizarro novelist and editor
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