Controversial film The Human Centipede II has finally been given a certificate, after cuts totalling more than two-and-a-half minutes.
The British Board of Film Classification previously took the rare step of refusing to give it a rating, warning that it could fall foul of obscenity laws.
But now the film's distributor has agreed to 32 cuts to gain an 18 certificate for DVD release.
Even so, one member of the board felt he was unable to back the decision. Gerard Lemos, one of the BBFC's vice presidents, did not feel it was classifiable and abstained from putting his name to the decision.
In the stomach-turning film, called The Human Centipede II (Full Sequence), an obsessed horror movie fan grafts a number of people together for kicks.
He is inspired by the original movie released last year by the same writer-director Tom Six who has boasted the new film is "the sickest movie of all time".
When it rejected the sequel during the summer, the BBFC said: "There is little attempt to portray any of the victims in the film as anything other than objects to be brutalised, degraded and mutilated for the amusement and arousal of the central character, as well as for the pleasure of the audience."
It added that the film breached classification guidelines and "poses a real, as opposed to a fanciful, risk that harm is likely to be caused to potential viewers".
Six went on to justify the film as "art" and the distributors appealed the refusal, which meant it could not legally be released on DVD or seen at the cinema.
The BBFC said the cuts related to "sexual violence, graphic gore and the possibility of breach of the law relating to obscenity".