Any filmmaker would want to make something that can still be seen without someone saying, "Ugh that was repulsing, offensive, don't bother visiting it 2nd time."
Explore the internet long enough and you'll see completely balls out madness there.
Personally making a film solely for the shock value serves no purpose to me.
I always wanted to do something that revolves around the darker side of sex, the pressure of it.
No matter what, I will always choose practical FX over digital ones. Blood spray pumps and squibs go a long way in convincing the audience that the carnage on screen happens right there, in a manner that digital have not achieved.