I don't want to be a richard but if they're going to get this past ESRB they probably won't have actual children in the game.
Just saying. I mean, look at GTA or saint's row, it's the same reason they don't have kids in those games.
At the same time the ESRB should get the stick out of their ass, this game is obviously not marketed to people who would give a stuff
It'd be like whining that you can kill children in Postal or something. "You can set people on fire, wait as they beg for their life until they've burned almost to death, then put them out with your own piss - okay, R18. Wait, you can kill children?! forget YOU THIS WON'T STAND"