"Blood-splatter effects occur frequently, and the game contains rare depictions of dismemberment," explains the game's rating summary. "In one sequence, players are directed to use various instruments and means to extract information from a character; the sequence is intense and prolonged, and it involves some player interaction (i.e., responding to on-screen prompts)."
The summary adds: "The game includes depictions of sexual material/activity: implied fellatio and masturbation; various sex acts that the player's character procures from a prostitute - while no nudity is depicted in these sequences, various sexual moaning sounds can be heard.
"Nudity is present, however, primarily in two settings: a topless lap dance in a strip club and a location that includes male cult members with exposed genitalia in a non-sexual context."
Then there's use of drugs, alcohol and some bad language.
"Some sequences within the larger game allow players to use narcotics (e.g., smoking from a bong, lighting a marijuana joint); cocaine use is also depicted.
"Players' character can, at various times, consume alcohol and drive while under the influence.
"The words "f**k," "c*nt," and "n**ger" can be heard in the dialogue."
Even the in-game TV gets in on the act, with programs and radio ads containing "instances of mature humor: myriad sex jokes; depictions of raw sewage and feces on a worker's body; a brief instance of necrophilia (no nudity is depicted)."