METAL GEAR SOLID V: Ground Zeroes

This is an action game in which players assume the role of an elite soldier through military missions in Cuba. Players infiltrate various bases and use pistols, machine guns, and rocket launchers to kill enemy soldiers. Firefights are highlighted by realistic gunfire, slow-motion effects, and large blood-splatter effects. Players can also employ stealth attacks (e.g., choking, knife stabbing from behind) and have the ability to kill non-adversary characters/prisoners. One cutscene includes a depiction of blood and gore (e.g., a character's intestines exposed during a dramatic procedure to remove an object). The game includes an audio file in which a female character is sexually assaulted by male characters; while there is no visual depiction, sounds of ripped clothing and struggle can be heard. The words “f**k” and “sh*t” are heard in the dialogue.