Look at all the freaks in here, mad that their pornography is being called out for what it is.

[Max Hardcore's films generally consist of sexual acts executed by himself, with women, often porn industry newcomers, who act like underage girls or their upset mothers, with an emphasis on anal sex. All of the actresses used in Little's movies are over the legal age of 18; however, they frequently dress and act in a way as to suggest that they are younger, possibly under the age of consent. In his film Max Extreme 4, an actress, Regan Star, stated during one verbal exchange that she was 12 years old; similarly, in his film Max Extreme Schoolgirls 6, actress Mya Mason stated during one verbal exchange that she was 12 years old.

The sexual situations depicted in Max Hardcore's films frequently include acts such as urinating on his female co-stars, fisting them, or inserting specula into their anuses or vaginas and widening them to extreme degree. There are also scenes wherein the actresses, at his direction, vomit or blow snot into their mouths or on themselves, or drink urine from their anuses using a tube. Films by Max Hardcore often depict their director and star inflicting apparent pain and humiliation on his co-stars. In an interview, Max said with pride that while no one is forced to do anything they refused to do, some actresses do not continue in the porn industry after shooting a scene for Max.

Hardcore calls his own material "vile and crazy" and considers that he has been influential on the porn industry, spawning many imitators.

Writer Susannah Breslin, reviewing Hardcore's work, has commented: "In Max Hardcore movies – Pure Max, Hardcore Schoolgirls, Don't Fuck Up My Mommy! – the women are verbally and physically degraded in an unprecedented myriad of ways.](https://en.wikipedia.org/wiki/Max_Hardcore)