Parents should have no concerns—this game is rated E and is simply American style football.
Madden fans have undoubtedly already bought this. While there are flaws in the gameplay, let's face it—this is the only NFL licensed game out there.
Deaf and Hard of Hearing gamers will miss out on the commentary, but will still be able to play and enjoy the game. Madden and Michaels sound like Disney animatronic robots anyway.