According to ESRB, this game contains: Mild Animated Violence 

Parents can breath a sigh of relief because players can't run over the unsuspecting pedestrians populating the virtual Chicago. Angel Studios has taken the higher road and I applaud them for it because extreme Carmageddon-like carnage would have only detracted from the fun that typifies Midtown Madness and makes it different. 3D acceleration is decent and its support for force-feedback is excellent. All and all, Midtown Madness is the perfect remedy for those frustrated drivers suffering from road rage!

Exotic car lovers will probably want to stick with the Need For Speed series since the cars in Midtown Madness are nothing to write home about. This is about racing through a bustling city (not the limitless autobahn) and durability takes precedence over aerodynamics.

Chi Kong Lui
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