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- Certification
- Sex & Nudity (3)
- Violence & Gore (9)
- Profanity (2)
- Alcohol, Drugs & Smoking (1)
- Frightening & Intense Scenes (4)
- Spoilers (1)
Certification
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Sex & Nudity
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- Alma is shown nude briefly in two cutscenes however her long black hair covers her nipples and her vulva is covered with pubic hair.
- Alma as an adolescent teenager is seen completely naked frequently when the player is exploring a building, however her appearance flashes quickly when the player gets close, but on one occasion her bare buttocks can be briefly seen.
- There is a sexual assault on a person which is audibly heard (two bodies moving around together during sex).
Violence & Gore
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- Guns such as the sniper rifle and shotgun are so powerful that they will often tear enemies in half, with their torso and lower body flying across the screen.
- This game is very gory and violent.
- Players can use a variety of projectile weapons (handguns, shotguns, machine guns, grenade launchers) to shoot, knock over, or blow up mutated humans, enemy soldiers, and alien creatures.
- Blood spray often explodes out of wounded enemies, while a slow motion effect allows players to see blood emission in a jelly-like, hanging form.
- Blood is also smeared on walls, the ground, and in pooled stains near dead bodies, which are sometimes torn apart and beheaded.
- During one sequence, an alien creature beheads a non-combatant directly in front of the player.
- Blood splatters realistically, and players can see body parts on the floor in some cases.
- A solider is seen lying on a hospital table dying while being stabbed by four spikes from some sort of machine.
- One scene shows a beheading.
Profanity
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- Gamers will hear words such as "f--k" and "s--t," almost immediately in the story and throughout the adventure.
- Name calling (son of a bitch, bloodthirsty bastard and prick.)
Alcohol, Drugs & Smoking
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- None
Frightening & Intense Scenes
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- The whole game is very frightening and intense.
- The main scare in the game is Alma, who will remind many of Samara from The Ring (2002).
- Frightening images and buckets of blood and gore.
- Loads of sudden jump scares when enemies suddenly come out of nowhere.
Spoilers
Sex & Nudity
- In the final cutscene of the game, the player's character is strapped to a chair in a device used in an attempt to destroy Alma. While this occurs, teenage Alma rapes the male character, her bare breasts and genitals are visible. This's done in quick flashes and somewhat distorted visuals.
