This game contains frequent depictions of gross violence towards human-like characters. The majority of this violence takes place during the hand to hand combat sections which can be found throughout the game. The player can also equip weapons such as knives, pliers and bats to use against enemies. One of the more violent acts involves equipping the pliers. When performing a finishing move the player grabs the enemy and pulls out either their fingernails or their teeth. All the violence in this game is realistic in nature. Characters cry out in pain and bleed when taking damage. When they have been defeated they fall to the floor and remain there until the end of the battle. This game features violence against a vulnerable human character. An elderly character who is sat in a wheelchair is repeatedly shot and killed. This game also contains frequent use of sexual expletives. The word “fuck” and its derivatives can be found throughout. This game also features images that encourage and/or teach games of chance. The player has the ability to partake in a multitude of gambling games such as poker, blackjack and koi koi. All these games feature a betting system and instructions on how to play the games.