boys from the black stuff

'Bastard Out Of Carolina' is bound to have you in tears of upset and/or rage:
http://www.imdb.com/board/10115633/?ref_=nv_sr_1

I would recommend for bleak realism:
Pixote [1981] The life of a boy in the streets of Sao Paulo, involved with little crimes, prostitution, etc. See the film before googling the life of the child actor.
Mystic River [2003] "With a childhood tragedy that overshadowed their lives, three men are reunited by circumstance when one loses a daughter." Dark AND depressing. But very good.
Whores' Glory [20110] An examination of the lives, needs, troubles and hopes of prostitutes in Thailand, Bangladesh and Mexico. This is the anti-Pretty Woman.
Other people recommend Irreversible but I found it to be "gore porn" (exaggerated violence for its own sake and a simplistic revenge-based plot). Just my humble opinion.

A life lived in fear is a life half-lived
Strictly Ballroom

Try this one,"Sestre" (means Sisters)
http://www.imdb.com/board/11797491/?ref_=fn_al_tt_4
,Serbian movie with a same theme of human trafficking.I found it even better than Lilya,but I'm probably biased being from the same area as the Sisters.

This film is only realistic to the ignorant. Very little is actually realistic about this film.
My body's a cage, it's been used and abusedand ILIKE IT!!

Los Olvidados (1950)
Dekalog I (1988)

I saw it. A thing that was cold and dry. It was me. - La Belle Noiseuse

Don't know if you're still looking but 'Snowtown' gave me a very similar vibe of a bleak reality. It also contains possibly the most unsettling scene I will ever see.

I refuse to believe that there is anything better than Lilja 4-Ever. I think even if I watch a thousand films this one will stay in my heart for all eternity. Haha.
Thanks for the suggestions, guys. I am not the original poster but I didn't know even half of these films and I will try to watch them all.
I am not sure if this has been mentioned yet, but "The 400 Blows" is also kind of depressing, although I didn't cry at the end. It deals with parental neglect just like Lilja 4-Ever. There is also "J'ai tu ma mre" which I could relate to, and it's also very emotional. I'm a very sensitive person and I tend to have lots of feelings while watching something. Be it either sadness, disgust, happiness, or whatever.
Thank you!

The Counselor

u got to watch Turtles can fly
believe me you love it!
If you really believe in something like GOD, you are so

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I am a fan of movies like this and over the past few years I have kept up with this thread & others like it across imdb.
That being said, I'm so surprised
The Magdalene Sisters
and
Gardens of the Night
have not been mentioned.
Both are such terrific films and well acted. If you like stories of troubled female youths facing adolescence as well as tough times, both films are tailor made for you.
Suicide is like the ultimate fck you.

Red Road
http://www.imdb.com/board/10471030/

You definately need to check out beep ml" if you haven't seen it yet.
Same filming style and atmosphere. Also a little depressing but not as much as Lilja 4-ever.

Relax! -
www.bryanel.com

I didn't mean to say it's not realistic, but pointing out that bleak doesn't mean realistic. Negativity is just one half of reality.

Not every film has to have all the elements of an entertaining film. This just is what it is. It's bleek, an it's supposed to be. And it's definitely realistic. There are many more clips like the one I posted from all over Russia.
"I still don't understand it, why they hate us so much" - Valerie, V for Vendetta

realist?
If a film is dark and depressing it doesn't make it realist. It just makes it dark and tragic, and more often than not, exaggerated.
deep/depressing?
Deep and depressing don't go hand in hand. I don't envy your world view.
Not trying to go out of my way to deny things that happen, just pointing out that it's an extremely one dimensional and stupid way to look at things. And even worse to pretend that it's the true or objective way.

Vagabond
by Agnes Varda is very bleak, but an excellent movie.

The Seventh Continent by Michael Haneke.
Ive seen the majority of extreme cinema out there, but this is one that I dont think I can watch again. Outstanding film though.

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Irreversible imo

I know it's been said, but Der siebente Kontinent 1989 definitely deserves to be on this list. Probably the most depressing movie I've seen.
http://www.imdb.com/board/10098327/