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Indeed this movie, along with Peter Greenaway's The Cook, the Thief, His Wife & Her Lover, were the major contenders that contributed to the final impetus for the eventual creation of the adults-only film rating NC-17.
It was the first NC-17 film to be shown on HBO and it was the first film rated NC-17 to be released by Universal since Henry & June in 1990, which was the first film to receive the NC-17 rating.