it has some strong religous devil stuff going on.
and it has gross distorted figures
and you cry blood and piss on enemies.
you pick up dead cat corpses and run around with them
its pretty worth that rating.
I don't know why you're complaining about it anyway, ratings like that don't really mean anything unless you have sticklers for parents. and no other way to get the game
plus its not like you have to go to a store to buy it, so there isn't anyone, except the possibility of parents, stopping you from buying it.