I believe it was trying to move past the "Hollywood glamour" of their mainstream violent scenes/movies. Whenever you see someone in a fight in most movies, punches get thrown, people may bleed, but generally the scene is not so bad in an emotional or visceral way. Real violence is different. You go into shock, you lose control of your bodily functions due to stress/shock/pain (and a person has a strong chance of evacuating themselves during death, which Amy was likely very close to/experiencing at that moment). Real violence is ugly, messy, and disturbing.
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