Bulletstorm is game where you take the role of Grayson Hunt, a constantly drunken space pirate with and interesting plot. Players use a leash to fling enimies around and impale them into spikes, giant cacti, fans, explosives, etc.
If you do not turn off blood and gore, enemies will constantly be dismembered or decapitated. The game is constantly centered around violence and the you way you execute it. You constantly earn skillshots, based on the way you kill your enemies, and sometimes represent alcohol use and sex(Drilldo, Gag reflex, fire in the hole, rear entry, etc.) One loading screen contains a Sexual Reference(Make sure you reload in the heat of battle, no one wants to get down to business half cocked) Players are allowed to drink alcohol throughout the levels, which results in a screen distortion effect, though the player gets more points for shooting the bottles than drinking them. The game constantly throws the words "Di*k" and "P**sy" at you, and swearing such as "Sh**", "F**k", Assh**e, "C**ksucker" are constantly used in the dialogue. The game does allow you to turn off this profanity, completely changing the word to something less offensive, this does not get rid off "Da**" "A*s" or "Hell"
The characters dialogue also contains Tons of sexual references, which can not be altered.(Now I know how the old gal got that limp) (They just keep coming, it's like herpes.)Other sequences contain violence: an unarmed, crawling man, shot to death. Points are used as simulation currency to buy weapons and upgrades.