According to ESRB, this game contains: Blood, Crude Humor, Strong Language, Suggestive Themes and Violence

Parents should not let their children play this game. Quite frankly, they won't understand it anyway. It is filled with beautifully-choreographed ballet-like violence, but it is still violence. There is a lot of spilling of blood, and, in a first for the series, someone drops the F-bomb.
Metal Gear fans will be right at home. Metal Gear newcomers may want to think twice before diving in. Fans of other stealth titles will enjoy the gameplay, but will have to contend with a story they may not understand or necessarily like.
Army aficionados will enjoy the fantastical array of gadgets and references to real-world entities like DARPA.
Film lovers will definitely enjoy the game's lavish, lengthy cut-scenes as well as dissecting the series's plots.
Deaf and Hard of Hearing gamers have little to worry about in terms of the gameplay relying on audio cues. One gun beeps when it is fully-charged, but this can also be confirmed visually. There are options for subtitles in multiple languages.



