I thought it was going to be him eating some discarded body part at first. Of course, the rest of this wasn't very pleasant either. I knew it would get dark. That's what the "M" rating is for, of course. I only really pay attention to the "A" rating, except on fanart.
The VHS style is getting more and more common. The tampons look like popsicles. I love how everything comes together at the end. Oh yeah, I can tell it's from Nihaho. It's hard to keep up with everyone's style nowadays.