I took it as a writer/director Lar Von Trier's metaphorical look at his own career, that is, each of the killings represented one of his earlier films in some way, in particular the public reaction to them, and whether or not he'd succeeded in getting across the points he wanted to make.
He works in very heavy symbolism. For instance, his film "Nymphomaniac" isn't really about sex at all. His movies definitely aren't for everyone, but he's made some real gems including "Melancholia", "Breaking The Waves", and "Dogville".
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Amidst the mists and fiercest frosts, with barest wrists, and stoutest boasts, he thrusts his fists against the posts, and still insists he sees the ghosts.
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