The Midnight Meat Train is based on a 1984 short story by English horror writer Clive Barker. It can be found in Volume One (of Six) of Barker's collection Books of Blood (1984-1985).
Most of the unanswered questions are explained in the short story this movie is based on. The things that eat people are called the fathers. In the short story, they're a secret society that run the world. They're weakened and need human flesh to live, and the leaders of modern society need them to live, thus their agreement to deliver them human flesh every night. In the short story there are also cleaners who clean up the blood in the train. The mark on the chest was to signify that Leon was chosen by the fathers to become the new butcher. Mahogany was dying of a disease, which was hinted at by him coughing up blood and him cutting off the nasty warts. It's not clear whether it serves another function besides showing he's very sick. Mahogany was getting old and sick, as evidenced by him coughing up blood and nearly losing to Rampage Jackson's character (the black guy in the subway). Thus the fathers chose Leon to become the new butcher (the mark on his chest). They knew Leon was obsessed with the killings and the final confrontation between Leon and Mahogany was in fact pretty much a training exercise to see if Leon had it in him to kill. Then they killed Maya so Leon had nobody to fall back on and had nothing else to live for.
No they aren't. Both are censored and cut differently. The HongKong Version is based on the R-Rated and on top of that was even censored in order to get a CAT II-Rating. The Thai Version on the other hand is based on the Unrated Version and misses out approx. 140 seconds in comparison to the Unrated Director's Cut.
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