UPDATE: After this story posted, the YouTube video was removed.
In the dark and morbid clip, which is titled Sturmgruppe 2013 Reel, unsettling images flash across the screen in slow motion before Del Rey is depicted getting raped by Hostel director Eli Roth.
The video begins with a haunting dinner scene. Manson and other guests sit lifeless around the dinner table while a fire rages in the background. Then, two women get into a physical altercation while another shatters a lamp with a blunt object. Other haunting images include a woman screaming while submerged in bloody water and an image of Manson making terrifying faces as he wades through fog.
During the sexual assault scene, Del Rey cries as Roth physically forces her onto a bed. She struggles and fights but Roth pushes her head into the mattress. Roth is then shown on top of her thrusting forcefully as she claws at his skin.
Adding to the sexual abuse theme are colorful balloons with "Rape" written on them that appear later in the video.
While the purpose and inspiration by the controversial short film are unknown, Roth opened up about the secret project during an interview with Larry King last year. "I shot a video with Marilyn Manson and Lana Del Rey," he dished. "Marilyn Mason is the best, he's one of my favorite people. The footage is so sick, it's been locked in a vault for over a year."