According to ESRB, this game contains: Mild Cartoon Violence
Parents have almost nothing to worry about with this game. Paper Mario: The Thousand-Year Door has no gore and no bad language. Bowser's lackey Kammy Koopa does say, "I was shaking what my momma gave me!" at one point, but that's the most offensive content I saw. Also, the game requires a lot of reading and very young children may have trouble keeping up.
RPG fans will find a lighthearted send-up of genre conventions while platformer fans can test their reflexes during combat and jump to their hearts' content.
Deaf and Hard of Hearing gamers should have very little trouble playing this game. Early on Mario needs an item that makes a certain noise to defeat a boss, but players can draw on context clues to use it. (I used it quite by accident). Other than this problem, there are no significant auditory cues. Comments during battles (e.g. "Nice!") are written out and the story is told in text.
But then a friend introduced her to the seedy underworld of the Mario brothers and she spent her saved-up birthday and Christmas money to buy a Nintendo Entertainment System (NES). Her mom didn't like the Nintendo at first, but The Legend of Zelda changed her mind. (When Tera got Zelda II: The Adventure of Link one Christmas, she suspected it was as much for her mother as for her).
Though she graduated from Agnes Scott College in 2002 and recently learned how to find the movie theater restroom by herself, Tera still loves video games. Far from being a brain-rotting waste of time, they've helped her practice spatial skills and discover new passions. Her love of games like Kid Icarus and The Battle of Olympus led to a degree in Classical Languages and Literatures. She thinks games have a place in discussions on disability and other cultural issues, and is excited to work with the like-minded staff at GameCritics.com.