My husband and I play this game with our 11 year old and a couple of other friends. We play on a PvE server, avoiding PvP activity. There is a lot of combat, but it's not gruesome. Teamwork is very necessary. There is a language filter, though the F word gets through sometimes in world chat. Players can't take their underwear off, so no one's ever completely naked. Some very helpful items, like permanent riding mounts, cost real money. Overall we've found it an acceptable world to explore as a family.