http://www.gamespot.com/articles/metal-gear-solid-v-gets-rare-esrb-sexual-violence-warning/1100-6416964/
[quote]It might not be a surprise to hear that Metal Gear Solid V: Ground Zeroes has been given an M rating by the ESRB, but the US regulatory group has also specially warned that some of the game's content features sexual violence.
An ESRB representative told GameSpot that Metal Gear Solid V: Ground Zeroes is the second game to get the "sexual violence" content descriptor. The first was Animamundi: Dark Alchemist, a visual novel released for the PC back in 2006.[/quote]
No surprise here, as Quiet pretty much get's -blam!- in the newest trailer. Though it's impressive it's the second game to get it.
[spoiler]shut up I know it's a old article[/spoiler]
[spoiler]don't hurt me[/spoiler]
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Kaz gets played like a fiddle.