In a side story, a stalker comes up to a schoolgirl that he is "in love with". After she does not return his feelings, he threatens to kill her with a knife. She is saved by the player.
Despite focusing on the criminal underworld, drugs (besides caffeine, nicotine and alcohol) do not feature in any part or portion of the game in any context.
A woman is groped by a customer where she works, she clearly asks him to stop and he refuses. A character's backstory involves sex trafficking as well.
As far as I know nothing similar is shown or implied, however it is mentioned by a minor character as a way to get rid of the protagonist. Like I said though, nothing’s shown
There is no actual 'squash', as in crumbles on itself, but two different characters die from head trauma. One from a hammer strike, the other gets their head slammed into the ground which kills them. There are actions where the player stomps on heads but they're not gory.
Finger mutilation (the yakuza "yubitsume" ritual) and toe mutilation (during a torture cutscene) both are performed. They're not directly shown, but the bandaged hand with missing finger is, and during a torture scene a mace goes down with the following shot being of the mace over a foot with blood quickly spreading on the floor.
Despite the no’s lee mentions that his daughter died and he
called her his baby so it implied she was a child. And elder Chen also mentions that lots of women and children were butchered, so the people saying no didn’t really check. Also I forget his name said that his teen daughter died. And the teen responsible was murdered. Play the whole game before you vote.
There is a sidequest (Underneath It All) where high school girls are coerced into selling their worn underwear. However, the protagonist is attempting to help the girls. Nothing graphic is shown.
A scene during an optional side quest involves a child crying over a torn-up doll, and directly shows the damaged toy. The act of destruction itself is not shown.
A major character's backstory involves them being kidnapped and held in isolation. A major character gets kidnapped but is saved minutes afterward. During side stories, two children almost get kidnapped, getting rescued by the player character. Another side story revolves around a kidnapped child, who ends up safe and unharmed.
The substory to befriend the adult video store clerk in Sotenbori involves getting a videotape from a woman who is all but outright stated to be a ghost. That's it.
In an early scene, a NPC can be seen doubled over and heard heaving as if they are about to vomit, or have just vomited, over a drain cover in the street. There is however no actual vomiting.
In a late game story cutscene, a character allows himself to be beaten in the middle of a street, without fighting back. He is clearly in a distressed and depressed state when he does so.
the 35th substory in the game ( optional and can be denied) : the truth about beauty, in Chapter 4 Kiryu ( one of the protagonists) approaches a woman on the upper right corner of the back lot in Nakamichi Alley. The woman will ask to hang out , implying sexual activity later on. She asks Kiryu to go to a hotel with her and if you refuse she gets angry and calls to her brother who comes onto the scene, and misgenders his sister ( who is implied to be trans). After fighting the brother , the woman misgenders him, ( him being her brother who is implied to be trans) , Kiryu then fights the woman. Upon winning the pair run off and Kiryu is left to contemplate on how he should be more careful about "getting scammed"
Additionally, a relevant and recurring character in the game who appears in the real estate arc ( one of the millionaires) is implied to be a trans woman or a drag queen.
The bar manager of the Earth Angel Club is implied to be a drag queen who is in drag as a civilian but actually a yakuza. Is referred to in feminine terms.
There is a shower scene with the male protagonist, but you only see him nude from the back and the side, and all these shots are above the waist. The scene is not meant as fanservice, as the protagonist looks very distraught and is close to or is outright crying.
The game is set in and around red light districts and as such references to s*x work and prostitution are common, although nothing is explicitly shown. Some references will likely be missed if you are not familiar with Japanese culture and/or the Japanese language.
Several homeless people appear in the story, one of which you encounter multiple times. After doing an errand for him, though, he helps one of the protagonists several times. A major character in the story also has their home burnt down, forcing them to become homeless.
During an optional side quest story, one of the protagonists makes a remark about Santa not being real. However this game should probably not be played by younger folks.
Nothing can be done about cutscenes; It is a game depicting violence, after all. But blood/gore can be toned down during normal gameplay through the game settings.
Some characters you fight have guns, and the player can use them if they so desire. There is one scene where it is mandatory to shoot yakuza who are chasing you in cars.
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