- After being banned for many years, the film's eventual release in 2002 by Vipco was cut by 22 secs by the BBFC to heavily edit the sight of a woman's stomach and breast being cut with a razor blade in accordance with the BBFC's guidelines over eroticised sexual violence. The 2007 Shameless DVD release reduced the cuts to 19 secs via editing.
- The UK Shameless DVD is missing 2 scenes. A brief conversation between Dr Davis and his secretary, and a shot of Davis turning and watching Lt Williams driving off in his car outside the hospital. These are distributor edits which were removed to maintain the flow of the movie. The UK Shameless Blu-ray adds 15 seconds of footage missing from the Blue Underground release.
- The German DVD version titled Manhattan Ripper is cut by 11 minutes, the cuts include:
- Rosie's death is completely cut out of the film, including the finding of her body and when the surgeon is examining her body.
- The scene at the porn club is almost completely cut, the sight of the hooker going down over the Latino is missing as well of the rest of the scene, including Jane masturbating.
- The scene where the hooker is killed by a broken bottle only shows the bottle coming out of the curtain and the aftermath.
- The foot-fucking scene at the bar misses the shots of the Latino pleasuring Jane.
- The young girls nightmare where she is butchered by the killer removes all violence.
- When Lt. Williams drives away from the psychologist lacks the shot of him looking after Williams.
- The scene with the Greek touching Jane's private section and belly is removed.
- The killing of Jane is completely missing.
- A scene at the psychologists office is missing.
- A scene at the killer's hideout has been removed.
- The scene with the razor is completely missing and the finding of the victim.
- The scene where Peter is stabbed in the belly is missing as well as the scene where his under jaw is blown off.
- The scene in the taxi is removed and where Peter's daughter is calling him.
- The US version cuts out some sex scenes to avoid an X rating, but all the violence is intact.
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