Rating issues
Violence includes hand-to-hand fights. In one instance a young boy is punched and falls to the floor. The violence is realistic-looking.
Illegal drugs and controlled substances may be consumed, including amphetamines, with references made to their positive effects and with experience points awarded for their use. Tobacco and alcohol may also been consumed, similarly with references to their positive effects.
There is use of strong language (‘cunt’, ‘fuck’, ‘motherfucker’), as well as milder bad language such as ‘shit’ and ‘bastard’.
Other issues
The game also includes references to suicide and depictions of suicide, including a woman using a gun to shoot herself in the head. There are some accompanying blood effects.