When New World Pictures re-released Eaten Alive in 1978, the Motion Picture Association of America granted it an R rating, allowing adults and accompanied minors to see the film. Chicago's local film review board took a far harsher position, upgrading the picture to an X rating because of its graphic violence rather than sexually explicit content. New World rejected the classification on free-speech grounds, turning the release into an early challenge to a Chicago ordinance that permitted films to be barred from audiences under 18 for violent material. The appeal board upheld the local decision, and the dispute later survived judicial review. In practical terms, the ruling made it far harder for the film to reach a normal commercial audience in Chicago, contributing to the commercial difficulties of a picture already facing hostile reviews and an intentionally sensational reputation. The distributor tried to compensate by circulating the film under multiple titles, including Starlight Slaughter, Death Trap, Horror Hotel, and Eaten Alive, but the legal controversy could not turn the film into a hit. Instead, it became an example of the growing struggle among distributors, local censorship authorities, and courts over whether graphic horror violence could be regulated like obscenity.
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