Metro Exodus

This is a first-person shooter in which players assume the role of a soldier (Artyom) exploring the post-apocalyptic wasteland of the former Russian Federation. As players traverse underground tunnels and irradiated environments, they use machine guns, rifles, shotguns, and explosives to kill mutant creatures and other human survivors. Combat is accompanied by realistic gunfire, screams of pain, and large blood-splatter effects. Players can also perform stealth attacks (e.g., knife stabs to the neck, knife throws) to discretely eliminate enemies. Some areas depict severed body parts and mutilated corpses with exposed organs/viscera. Cutscenes may also depict intense acts of violence: a character shot in the face at close range; civilians executed by enemy soldiers. The game contains some sexual material in the dialogue (e.g., “…[S]pread your legs a couple of times and enjoy the rest of the day”; “Imagine we got a chick here, eh? I'd be doing her from now till next morning…”; “…[Y]ou lost your f**king butt plug”; "Sure would be nice to hit the sack with a fat juicy wh*re..."); there are also depictions of topless dancers atop a club stage. In some sequences, players' character can inhale from a hookah and experience drug-like effects (e.g., distorted/blurry screen, hallucinations). The words “f**k” and “sh*t” are heard in the game.