This game 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 the character is restrained, it is possible to commit a number of violent acts against them, such as leaving characters on train tracks for an oncoming train to hit, dragging them behind your horse while they are still alive, or throwing them into a body of water to drown. At one point, a restrained man is placed in an electric chair. The chair burns him but does not kill him, causing the man to beg for someone to shoot him.

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

The game features depictions of graphic violence. Powerful and explosive weapons can be used to incapacitate and kill various characters. If used at close range, these blasts can lead to decapitation and dismemberment. This also applies to some of the animal characters, such as the horses. There are also some ‘execution-style’ moves, which feature strong blood and gore effects.

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

The game also contains moving images that encourage and teach the use of game of chance. Throughout the game the player is able to bet on and partake in various games of chance, such as poker and blackjack. All of these games feature in depth instructions informing the player about the rules and how to bet.