Currently, they appear limited to pressuring ESRB (Didn't Hillary start that?) into slapping an AO DEATH tag on their game. No developer wants an AO tag, it means death in sales. In other words, they are currently limited to simply bullying developers into not putting things in a game. But that is a fairly fine line. One that can be crossed at any moment with little warning, if it hasn't been already, and with very few people taking notice or caring enough to say anything about it until it is too late.
There have already been many disscussions about censoring the internet. It is a real possiblity, other governments have done it, ours has been talking about it. It very much can happen.