The manual and back insert are in German and Dutch. The front and disc art are different to the European edition. The death sequences are censored in both editions.
The back insert was mistakenly printed with a USK 16 rating, which was corrected by placing a USK 18 sticker on the plastic case above the original printed ratings logo.
1. Front
2. Back
3. USK sticker
4. Disc 1
5. Disc 2
Thanks to CDcovers.cc (image 1), Nakian (images 2, 4-5), and OGDB (image 3).