a dog dies fairly immediately and there are dead rats in the sewers

A dog is shot with a gun at close range as it attacks a man, blood is shown as well as a distressed child in a car who sees it.

A dead rat can be seen in the sewer

A dog is shot

The main characters are all addicted to pills

Drugs are a main topic in the story as tetsuo gets addicted to pills that repress his powers

Underage drinking.

There is a scene where Tetsuo gets glass embedded in his foot.

tetsuo's arm is burnt off by a laser and there is a brief scene at the end where the colonel's arm is almost bitten off.

tetsuo suffers and is experimented on throughout the film, and there are flashbacks to the young espers being tested on as well

Burned in a bike crash.

Near the end during Testuo’s mutation, he absorbs his girlfriend who gets crushed by his mass

multiple characters are shown getting hit in the face and losing teeth.

during his mutation scene, tetsuo's eyes are affected. in a brief scene, someone is holding tetsuo's eye open with their fingers.

tetsuo steps on glass and loses his arm. during his mutation, there is at least one mutated depiction of feet, and many mutated hands/fingers.

In the opening, a man has his arm crushed by a motorcycle

no deaths are shown on-screen as none of the characters' parents are shown. it is implied that a majority of young characters are parent-less or missing at least one.

Tetsuo is kidnapped by government agents

The physic children sacrifice them self’s to send tetsuo to another dimension

children's toys are objects of tetsuo's violent hallucinations including a teddy bear, a toy car, and a pink bunny, though the toys are not real and are not explicitly destroyed.

There is a biker gang that wears clown face paint.

the government tracks and follows tetsuo.

in the hospital, there is a surprising scene during which tetsuo suddenly kills many people at once

there are ghost-like memories and hallucinations. (SPOILERS) akira's form is briefly shown alive and transparent at the end.

Kei is briefly possessed by one of the psychic children.

people spit out cigarettes, tetsuo drools, and kaneda spits out a bloody tooth.

kaneda wretches in the sewers. (SPOILERS) at the end of the movie, tetsuo's mutation has green liquid flowing from its mouth.

there is no institution for mentally ill people, but there is a scene depicting a building where doctors collected children with psychic powers.

various forms of experimentation are shown to have been performed on tetsuo and the espers.

tetsuo is often in a hospital

tetsuo is injected with sedative

the end of the movie depicts very graphic mutation

when tetsuo hallucinates, he panics and expresses great distress.

two characters are crushed. tetsuo and espers are strapped to a table. two characters are locked in jail for a short period.

there is a scene of a character dying with pills in his mouth, but he did not die from the pills nor was that his intent.

characters do unhealthy things like drugs and alcohol, and tetsuo self-medicates with drugs. no characters purposefully physically harm themselves.

when in the hospital, tetsuo's power grows and there are various light changes.

When Testuo and kaori steal Kanedas bike they stop in the street and get attacked by the gang know as “the clowns.” They pin kaori to the wall and rip her shirt off exposing her b*****s briefly then pinch her in the face knocking her out.

various times, background characters are shown being intimate though not explicitly. a young female character's chest is exposed briefly.

tetsuo misgenders kaneda twice by using a feminine name and suffix, though kaneda is not explicitly transgender

as tetsuo's health downgrades, his friends call him cr*zy, say he's lost his mind, say he's acting like a crackhead, etc.

It's bittersweet; many people are dead, but there is implied to be hope for rebuilding Neo Tokyo.

Tetsuo is verbally abusive to his girlfriend

The movie begins and ends with an explosion

There’s a scene were the coach I think is punching the main characters who are all ~15

No actual hangings, but there is one mention of hanging, and one short shot of a statue with a loose noose around it's neck.

in the sewer scene, characters are pushed under water but are never in danger of drowning. people also die in water from other causes. the city is flooded and destroyed at the end. there are no drowning scenes/no one dies from drowning.

tetsuo steps on glass. characters fight and end up bloody. a character is crushed. tetsuo hallucinates gore.

There is a scene when satellites fall from space but no planes

bike crashes happen a couple times