Just curious how far the "It's just pixels" argument should go. How much farther than what is depicted here is okay? Swap out this girl for a five year old and have the player masturbate after the cutting her face off and wearing it like a mask scene for example. At some point someone has to say "Enough".
I think swapping the character to a five year old girl wouldn't increase the game's rating if they are just cutting her face off, but the masturbation would due to child pornography laws.
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