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snyps said:

For the same reason that porno will never mix with big budget movies, no. Games based on pornography will never make the big time.

There are big budget movies that go pretty far, of course heavily censored for TV like Eyes Wide Shut.
https://decider.com/2015/01/30/eyes-wide-shut-censored-vs-uncensored-gallery/#4
Or you just get a lot of complaints of too much graphic sex with movies like Blue is the warmest colour.

There is a vast difference between Europe and USA as well. European movies don't bat an eye at nudity, yet for movies to get shown in the USA you have to censor and cover up. Makes me laugh every time there is a 'sex scene' where they're either dressed or fully covered up in bed. Way too hot under the blankets for any action! Meanwhile crime shows are half the time about sex crimes, sex parties gone wrong. I guess the mindset in the USA still is that sex is bad.