Rating issues
This game contains depictions of strong, realistic looking violence towards human and fantasy characters. The player will often encounter monsters and humanoid zombies. When the player shoots at them, blood will spray on impact. When killed, enemies fall to the ground and their bodies remain there. At times, some of these enemies will shriek in pain when hit, and some will explode into meaty chunks.
Other issues
This game also contains the use of bad language, including ‘piss’ and ‘bastard’.
This game contains disturbing imagery throughout. Human corpses are often seen in environments with blood detail.
Cigarettes are often seen on the ground and in ashtrays around the game. The player is not able to interact with these at any point in the game.
A letter references a 15-year-old girl being injured at a theme park. No details are given as to how she was injured, and there are no images to accompany this.