This game features graphic violence towards human-like characters. Powerful and explosive weapons can be used throughout the game to incapacitate and kill various characters. If used at close range these blasts can lead to decapitation.

The game also contains frequent depictions of violence towards defenceless human characters. The player has the ability to lasso and tie up any character in the game. Once a character is restrained it is possible to commit a number of violent acts, such as leaving them on train tracks for an oncoming train to hit and dragging them behind your horse whilst they are still alive.

The game also features depictions of apparently motiveless killing of multiple innocent human-like characters. The player is able to freely attack and kill the civilians who populate the game world by using any of the weapons at their disposal. The reactions to the violence are all realistic in nature, with characters screaming in pain and visible wounds appearing on their bodies.

There is frequent use of strong language (‘fuck’ and ‘cunt’), as well as discriminatory language, including the ‘n’ word.

The player’s character is able to take part in gambling activities, with detailed instructions provided about how to play games of chance such as poker and blackjack and how to place bets.