According to ESRB, this game contains: Blood and Gore, Intense Violence, Strong Language, Use of Drugs
Parents will find themselves in a bit of a jam. This is a game that lets players do drugs as powerups, so obviously your first impulse will be to bar kidsfrom playing it—but wait, drugs are only used in the game that way so that parents will keep their children from playing it, in the hopes of giving it some 'street cred'. Do you let your children play a bad, but inappropriate game, or do you turn it into a tantalizingly forbidden fruit? It's a tough decision, and I can't make it for you.
Fans of the original do not exist. Seriously. The original NARC appears on this game as an unlockable bonus, and I'd advise anyone who buys the game to try it, if only so they can see just how bad it really was.
Deaf and Hard of Hearing Gamers get majorly shafted by this one. Incidental dialogue and most mission instructions are subtitled, but no plot sequences are, which leaves the plot a near-complete mystery, and forces the player to go to the pause menu to get specific information on their objectives.