According to ESRB, this game contains: Cartoon Violence
Parents shouldn't be too concerned. It's a violent game, but in a mostly cartoonish way. If children are ready to watch a James Bond movie, they're ready for this game.
Bond fans will obviously be interested. This is the perfect game for anyone who ever wished that they could have seen a little more of Blofeld's hollowed-out volcano in You Only Live Twice.
Deaf and Hard of Hearing gamers are mostly okay here, as most important mission information is written onscreen. Unfortunately the tutorials aren't subtitled, and they'll be missing out on the music that cues players to the presence of a super-agent on the island, which will make the game noticeably more difficult.