I is sold for distribution for American cinemas, so keep an eye out.
From all the media hype about this movie I thought it would be a lot worse than it actually was, but that said it is rather sick, in a Von Trier way, but still the visual side its kept very tight, it's dirty and clean at the same time! A visually stunning movie! The story is not entirely in my taste, but I think it has a good narrative, and clever build up, but yes definitely not a horror movie in its traditional sense.
Did anybody see his tv mini-series The Kingdom ("Riget" in Danish) 1 and 2? I still feel like that is his finest work, well maybe not but the one I have enjoyed the most!