Smackdown vs raw is a long lived wrestling simulator, Very realistic and sometimes too realistic. First off, The blood. You can beat someone over and over again with a sledgehammer until they are knocked out. They bleed all over the place but it looks like paint. A lot of wrestling moves are able to break someones neck. This shouldn't be copied, One reason to not buy this for a child. Maybe for someone mature. The sex in this is pretty moderate. The female wrestlers wear inappropiate outfits but its no worse than what you see on TV before the watershed. Overall its a mature game but isn't violent really.
It's a much better experience than sitting in a crowded arena for three hours getting beer thrown at you. Just about any age level can handle this, as long as they know how to play. The Road to Wrestlemania story however is atrocious.