ESRB has rated Death Stranding and thus, labeled the game as violence and other mature content in the game which includes nudity.

As it was expected from the game after the numerous trailers and gameplay demos, it is getting a Mature M17+ rating from ESRB. The description of the rating is rather interesting but beware of potential story spoilers.
This is an action game in which players assume the role of a courier (Sam Porter) transporting packages across a post-apocalyptic environment. As players traverse mountainous terrain, they can be attacked by human settlers and ghostly apparitions.

Players use machine guns, grenades, and shotguns to kill enemies; firefights are highlighted by realistic gunfire, large splashes of blood, and cries of pain.

Cutscenes contain more intense instances of violence: a man and an infant shot—the latter, accidentally (blood splatter appears below the infant); a character shooting a comatose patient in the head; a man stabbing himself repeatedly in the distance. A handful of scenes depict a character with his buttocks exposed. The words “f**k” and “sh*t” appear in the dialogue.

Hideo Kojima has a tendency to end up showing his main character naked one way or another in the game and Death Stranding is continuing this trend.

Kojima also has included some nice attention to detail and easter eggs like Sam punching the player breaking the 4th wall when the camera is used to stare at his crotch for a little too long.

Death Stranding has left the actor Mads Mikkelsen, who plays Cliff in the game, quite impressed. Kojima has said in a recent interview that the game will take a lot of time to complete.


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