I must confess I'm puzzled by the statements of spedler and Dale B.

What's the visual difference between make-up and blood? If your criteria would be applied to Hollywood movies, then no movies would be rated violent because all movies use make-up!... Or do you believe the actors really bleed? ;-) You know it's make-up but that does that decrease the violence of the scene? Obviously it doesn't because movies are still rated violent by whoever rates them.

Another thing I'm puzzled is that you say it's a clown as if that decreases the violence of the character. Many famous violent movies use clowns. Surely I don't need to remind you of the Joker...
If you have doubts, take a look here:
http://movieodyssey.com/715/movies/9-movies-featuring-the-creepiest-clowns/