Realistic blood and gore, strong sexual contentĪnimated blood and gore, animated violence In light of these regulatory challenges, most commercial video games with explicitly erotic content are developed for the web or PC, not submitted for ratings, and sold on unregulated marketplaces such as Nutaku.įirst game to receive the rating. The only mainstream distributor which permits AO-rated games is Steam, which hides them by default. Most retailers refuse to stock them, and the popular video game live streaming service Twitch forbids streaming them. All three major video game console manufacturers ( Nintendo, Microsoft, and Sony ) prohibit AO-rated games from being published on their platforms.
Self-imposed restrictions by publishers and distributors restrict the availability of AO-rated games, thus the rating has been described as a "kiss of death" by journalists, and is essentially a ban. Grand Theft Auto: San Andreas (2004) was temporarily re-rated from M ("Mature") to AO after a sexually-explicit minigame was found hidden in the game, but the M rating was reinstated after Rockstar Games patched out the content. The only game to receive the rating for other reasons is Peak Entertainment Casinos (2003), which allows players to gamble using real money. The rating has also been issued for three games due to extreme levels of violence: the canceled Thrill Kill (1998), the initial cut of Manhunt 2 (2007), and Hatred (2015). The majority of AO-rated games are adult video games, those with pornographic or strong sexual content. AO is the highest rating in the ESRB system, and indicates a game is only suitable for players age 18 and over. The Entertainment Software Rating Board (ESRB), the video game content rating board for North America, has issued an " Adults Only" ( AO) rating for 29 games.
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