This game features violence towards vulnerable and defenceless characters. A cutscene in the game shows a character beating up a man bound to a chair. He punches the man multiple times whilst blood effects are shown and can be seen on the impact of each blow. Almost all gameplay violence is strong and realistic. The game balances stealth and intense firefight gameplay, with the player using their knife or bare hands for silent takedowns. These show animations of the protagonist stabbing characters in the abdomen or in the neck with blood effects present.

Strong language can be found in the game. The game uses a mix of English and Italian (Sicilian) profanity. These include the use of ‘fuck’ as well as milder English and Italian terms.