In 2011, the film was leaked online, and pirated copies began circulating on file-sharing platforms. The leak sparked a heated debate about the ethics of digital distribution and the availability of extreme content online.

Despite the controversy, the film received generally positive reviews from critics, with many praising its originality, technical achievements, and performances. The movie holds a 68% approval rating on Rotten Tomatoes, with many critics acknowledging its transgressive and unflinching approach to horror.

The film was initially released in a limited capacity in select theaters and later became available on DVD and Blu-ray. The movie's digital distribution was marked by controversy, with several online platforms and retailers refusing to carry the film due to its graphic content.