The MPAA told Lynch that the version of Wild at Heart screened at Cannes would receive an X rating in North America unless cuts were made, as the NC-17 was not in effect in 1990 at the time of the film's release. The director was contractually obligated to deliver an R-rated film. He made one change in the scene where a character shoots his own head off with a shotgun. Gun smoke was added to tone down the blood and hide the removal of the character's head from his body. Foreign prints were not affected. The Region 1 DVD and Blu-rays contain the toned-down version of the shotgun scene.

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