Do you suffer from coulrophobia (better known as a completely understandable fear of clowns)? If so, Terrifier 3 isn’t going to make you change your mind about them.

In fact, the third installment in the movie series about Art the Killer clown (David Howard Thornton) might even be too frightening for those of you who don’t break out into a cold sweat at the sign of someone in clownface, if the reaction of the audience at the U.K. premiere is any indication.

The holiday-themed film follows Art as he “unleash[es] chaos on the unsuspecting residents of Miles County as they peacefully drift off to sleep on Christmas Eve.”

The web publication  LADbible reported that 11 audience members at that premiere walked out during the movie and that a whopping nine of those people left during the film’s pre-credits scene, a sequence replete with sadistic gore and mutilation and possibly worse.

LADbible also reported that one audience member was moved to vomit in the theater, citing the Terrifier 3 public relations team.

“Although I was in and out of the screening, I did manage to witness some crazy stuff,” Leone told Bloody Disgusting. “One woman got up and left in the middle of the shower massacre. Another woman left the screening and said she started having a panic attack during a scene involving kids where Art impersonates a mall Santa,” he said. (Yes, Art kills kids. You’ve been warned!)

Leone has been quoted as saying it was that first scene that kept him from getting financed by a major studio (but he put it in anyway, obvs.)

That’s not the final word on Terrifier 3, though. It also premiered at Fantastic Fest, held at the Alamo Drafthouse in Austin late last month, and there it was received with much more enthusiasm, and presumably, less puking. Several of those lucky enough to attend took to social media to declare their admiration.

The horror festival reviewers have pushed Terrifier 3 to a 93% fresh score on Rotten Tomatoes, which is good news for the film, which opens nationwide on October 11th. If you go, be sure to bring a bucket!