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Movie-wise, it'd be rated NC-17, because getting an erection is the difference between an R and an NC-17 rating, and if I recall correctly, I have had erections before. But in reality it would be unrated, because my life is constantly adding new content so the MPAA would never have time to rate the whole thing.

Game-wise, I guess it would be the same way and I'd be unratable. Unless I guarantee I won't do anything new for the rest of the year, so each month can be seen as DLC that just changes small choices like food, sleep cycle, and side-quests. In that case, the ESRB would just go by my life until now (as the main game or main quest), and I'd get an AO rating because I do all this freaknasty stuff I can't tell you about.