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This game could be revolutionary on several levels:

1. AO rating could become used on open market consoles and handhelds. Not likely, but more likely now with this game.
2. ...Or the complete opposite could happen and games everywhere could get tighter restrictions; at the very least a rating restructuring.
3. Violent spontaneous shootings in public places could actually be reduced based on this game feeding certain urges to possible offenders.
4....Or once again the complete opposite happening and instead encouraging said acts. However, during the period of popular violent video game releases, violent crimes are typically reduced.