According to ESRB, this game contains: Blood and Gore, Intense Violence, Strong Language
Why on earth would parents even consider letting their children play this game? Seriously, it's a game about beating homeless people to death with a lead pipe. Adults shouldn't even be allowed to purchase it.
Morally maladjusted deviants looking to kill dozens of filthy homeless people without fear of legal reprisal need look no further—your long-awaited murder simulator has arrived.
Deaf and hard of hearing gamers will have a great amount of difficulty playing this game. Audio cues are vitally important to knowing where the next attacker is going to be coming from, and there are no onscreen indicators to replace them. I tried paying without the sound off for a little while, and found myself dying a good 80 percent more frequently than normal.