This game contains violence towards vulnerable and defenceless characters. There are scenes in which an adult serial killer is seen strangling multiple persons including a child.
Other issues
This game also contains the use of bad language including ‘bastard’, ‘bitch’, ‘piss’, ‘shit’, ‘crap’, ‘damn’ and ‘hell’.
The game features references to death, murder, and suicide with accompanying still and animated scenes of the bodies of the victims, some shown with visible blood and wound details.
There is a scene involving implied self-mutilation. Copious blood effects but no wound details are shown during this scene.
References to alcoholism and domestic violence relating to children are also shown. The children in question are depicted with bruising on their faces but the actual abuse is implied. The action happens off camera, although sound effects are heard.