According to ESRB, this game contains: Blood, Violence
Parents won't want to get this game for any child too young to handle this type of horror-film content. There arent any sexual situations, but there are a small handful of phrases that may be considered inappropriate by some. As far as violence goes, the gameplay centers on blowing away mutant organisms and generally filling everything that moves full of oozing holes. The visuals aren't as realistic or as graphic as some other games on the market, but there are clearly dead and mutilated human bodies scattered throughout the facility in addition to the cast of inhuman uglies that plump when you cook 'em. It's nothing worse than what you'd get in a PG-13 film, but be aware of the content before picking this up for a young one.
Gamers in general may want to check out Extermination. For players who are tired of the same old formula, the game is faster and more streamlined than you'd expect, which provides a real horror/sci-fi action-film feeling. While it appears to be more of the same at first glance, it feels and handles significantly different enough to be a new experience worth getting into.
Fans of Resident Evil owe it to themselves to check out Extermination. While the story isn't anything to write home about, it's an excellent contrast to the stale feeling Capcom's flagship series and all of its imitators have fallen victim to in the last few years. If you have an urge to satisfy your Survival Horror craving, this game is a low-fat alternative that not only breaks out of the cookie-cutter mold, but also leaves you feeling light and refreshed.
Hearing Impaired gamers are included in the formula since all of the games spoken dialogue comes with accompanying text. No problems here.