Five cringe-worthy scenes vie for the Best Gut-Wrenching Performance at the MTV Movie Awards. Vote for your pick on MTV.com!
By Kara Warner

Ryan Gosling in "Drive"
Photo: FilmDistrict

Of all the unique and outlandish categories that the MTV Movie Awards have been known for each year, 2012's new addition, Best Gut-Wrenching Performance, might be the most unique, outlandish and downright cringe-worthy of all.

So what is a gut-wrenching moment? For our purposes, it is that one unforgettable scene in a recent movie that was so outrageous, disturbing or just plain gross that you had a physical reaction whilst watching it. A literal wrenching of your guts.

No matter your reaction to this year's very diverse nominees, be it the poo pies, head stomping or group food poisoning, we can almost guarantee the nominated moments in this new category left an impression on you. Here's a closer look at those five gut-wrenching movie moments:

Bryce Dallas-Howard, "The Help"
For those who've seen "The Help," there's not much to say about this other than revenge is best served cold, in the form of a poo-laced pie. In the scene, Dallas-Howard — a double nominee this year — who plays the cringe-worthy and hateful villain Hilly Holbrook, scarfs down what looks to be a delicious chocolate pie. Hilly and the audience soon find out that the pie has an extra "special" ingredient: poop.

Jonah Hill and Rob Riggle, "21 Jump Street"
Moving on to our next nominee, from poop to a detached penis. (Did we mention these moments are gut-wrenching?) In the final few minutes of one of the year's funniest comedies, "21 Jump Street," Jonah Hill accidentally shoots off Rob Riggle's penis, after which the handcuffed and injured party is forced to retrieve his dismembered man parts with his mouth. Bonus fact about this scene: Riggle improvised the mouth pick-up.

Kristen Wiig, Maya Rudolph, Rose Byrne, Melissa McCarthy, Wendi McLendon-Covey and Ellie Kemper, "Bridesmaids"
While there are multiple memorable scenes in "Bridesmaids," one of them stands out as the messiest. While shopping at a swanky boutique for their dresses, the bride and her five bridesmaids are simultaneously hit with a tidal wave of food poisoning that causes them to lose their lunch in every conceivable way.

Ryan Gosling, "Drive"
While Ryan Gosling made many women swoon with his wooing of Emma Stone in "Crazy, Stupid, Love," his turn as the cold, calculated and deadly driver in "Drive" had the opposite effect. Gosling's most gut-wrenching scene is a furious display of skull stomping never before seen on film. Talk about cringe-worthy, that elevator stomp is off the charts.

Tom Cruise, "Mission: Impossible - Ghost Protocol"
This last nominated moment is the least gross of the bunch and also the most impressive given the physical feat achieved to produce it. In "Mission: Impossible - Ghost Protocol," Tom Cruise's super spy Ethan Hunt scales the planet's tallest building, Dubai's Burj Khalifa, in a race against a nuclear clock. Cruise actually performed the stunt, which required him to dangle a mere 2,700 feet from the ground.

Head over to MovieAwards.MTV.com to vote for your favorite flicks now! The 21st annual MTV Movie Awards air live this Sunday, June 3, at 9 p.m. ET.