According to ESRB, this game contains: Blood, Intense Violence, Sexual Themes, Strong Language
Parents should be very wary. This game is chock-full of swearing and violence, with absolutely no redeeming qualities to recommend it. Keep the kids away.
Fans of the first won't find much to love here. The gunplay is back, but it's not as much fun this time, and there's none of the inspired madness that made the first such a wonderful guilty pleasure.
Deaf and Hard of Hearing gamers should be able to play the game well enough. There aren't any subtitles, but there isn't really any story to subtitle, so it's a moot point. They will, however, be spared the excessive amount of swearing, which actually makes the game a little better.