*WARNING, MILD SPOILER WARNINGS!"
I tend to always look at "M" rated games in the USA as kind of joke...pre-teens sure see quite a bit worse on TV, even Non-Cable TV.
This is one time I think the "M" rating is well deserved. I have played for about an hour of the game, and it indeed has Pubic Hairs, Grotesque scenery, Decapitations, Golden Poop, Sexually Mutilated Genitalia, which of course means Nudity, though it seems all the nudity is of the Female variety all be it Nudity with Stitches and Bucket Loads of Blood, and Lingerie..SHOCK! Yes there is a story about eating BEAVER...and yes it is what you think it is!
Sexual Innuendo is pervasive through the game as well as the F-Bomb. Of course in Hell you can drink all the Liquor you want without Liver Damage!
Though one of the More disturbing images..so stop here is you don't want a MILD SPOILER...is locating Strawberries and SHOVING it down Babies Throats so they will open their gates..even more disturbing is they way they coo and giggle after being forced to eat a Strawberry, eyeball, or brains!
The Creep Factor is there, and I found myself turning my character around with quick turn and for a very good reason! Won't spoil it though for anyone.
This is a Tongue and Cheek Horror flick with HEAVY laden sexual over-tones, but it truly had me moving my head in real time trying to look around corners!
The game is a Blast and I am thoroughly enjoying it and recommend it, if you can handle all the above that I have mentioned.
If you suffer from media induced nightmares, then you may want to skip this due to the Sexual Grotesque.
Game-Play wise it has a few flaws, as no First Person Mode, which at times I wish I had, but I am quickly get used to the Behind and over the Shoulder Perspective.
This of course blows the Graphics out of the waters of anything else that Suda51 has ever done and controls quickly become intuitive as you play.
So, it is a buy, especially if your a Silent Hill type fan, just don't let your children play it, or play it in front of your children, nor anyone in the family that finds Heavy Sexual Tones tied in with Blood, Gore, Sutures, Sexual Mutilation, Disturbing Images, and Intense Language see or near the game!
What is weird, is I find it Disturbingly Refreshing...Hmmmm Is that Normal...LOL. This isn't a romp through pretty land...this is Hell!
So what are you waiting for, go get it!