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All depends on the targeted audiences. A game designed for children obviously has to remove the sexual content.

Of course at my age i rather have games built around my needs however games arent always about what you want or built around individuals.

Nintendo is a perfect example here, most of there games are meant for all types of audience so they can't have Zelda in a skimpy swimsuit saying slutty lines to Link because a 8yo would be playing the same game etc.

A 15 or 18+ rated TV show or movie obviously doesn't have to cata for children.