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I've recently played I Have No Mouth And I Must Scream, and I have to say, this game is quite disturbing, one of the most terrifying sequences being Ellen's elevator ride.
Suffice to say, it gives the chills and gives a taste of the terror a raped woman experiences, all thanks to Harlan Ellison's writing.
The reason I post this thread is that very, very few games actually touch the subject of sexual violence. While the most likely reason is to avoid AO ratings, there is propably something more to it. Inability to properly portray? Is it too grisly for a video game?