Holy smokes, this movie is one of the more surreal and weird films I have EVER seen. It continuously ascends into stranger, more brutal, and utterly mind-bending territory as it progresses, and that’s saying something because it starts out pretty far gone. It has very, very little to do with the first film, you don’t need to have seen it, and that’s a good thing.
It’s very violent and gruesome, so be warned, but it’s also so over the top that it becomes cartoonish.