This game will drop the f-word dozens of times as well as s-words. There are extremely violent take down attacks (stabbing people in the head, slicing their jugular, and snapping necks). There is also decapitations as well as dismemberment of limbs (nothing as bad as mortal kombat). This game has defiantly earned it m rating in my opinion. BTW, there is also a lot of drugs mainly because in the game, you bring down the Mexican drug cartel. If your kid is allowed to watch R rated movies, then this will be nothing new to them.