This is an action/stealth game in which players engage in first-person fighting and gunplay as they attempt to escape from a maximum-security interstellar prison. Players use firearms (assault rifles, shotguns, pistols), hand-to-hand weapons (fists, knives, clubs), and stealth moves (e.g., neck-snapping, strangulation, and throat-slashing) to kill security personnel, hostile prisoners, and humanoid mutants. Some kills can result in enemies getting stabbed in the eye or being dismembered, resulting in limbs that explode and litter the ground. Red blood often splatters on the environment when enemies are attacked or killed. Players can also encounter a character that masturbates in his prison cell. Although the character's back faces the player during the act, the sequence lasts for about 45 seconds and involves some moaning and shuddering. Dialogue within cutscenes contains some sexual references (e.g., rape and necrophilia) and strong use of profanity (e.g., 'f*ck,' 'c*nt,' and 'p*ssies').
source: esrb