(there is a way to turn gore off, keep reading to find more info)
Info: First off, the main reason this game is M is for violence. You can use many different types of weapons to shoot n' kill your way through the game.
There is blood, and gore when you kill and attack enemies, but not very noticeable while playing. The most violent part of the game is in character introductions where people are smashed, impaled, and shot, with blood everywhere. You can explode enemies into different body parts, which is quite gross. There is a fix which drops the violence to a 4/10 which is the turn off gore mode. It is in gameplay settings, and takes care of the ugly gore. It will not edit the cutscenes though, so be careful about those! Next off, language. All you need to know is that there are frequent uses of "bi**h,
hell, and jackass. You will need to warn whoever you are reading this for about these words, and make sure they're used to them. No use of the F*** word, and two uses of S***. The drugs are acceptable, and there is not much drinking or drugs at all, just a few instances where people smoke and drink, but no noticeable drugs. For the suggestive themes, there is a lot of dark humor and torturous humor used. There are bars with people who ask for "work" that use stripy clothing. There are gambling machines (that if you ask me are incredibly expensive) that use money up like a fire, in game of course! Expect dark humor throughout, violence, mild language, and a bit of suggestive items.