Quaint PlayStation 3 exclusive Twisted Metal features a live action sequence in which a serial killer is stabbed in the face with scissors.
Another live action sequence shows a woman holding a bloodied saw and severed head; another shows machete stabbings in hospital; and yet another contains a woman bleeding from the neck.
These "intense acts of violence" have helped the game to a cheese-like Mature rating. Sweary creator David(stow) Jaffe will be happy.
"This is a combat racing game in which players assume the role of contestants battling for supremacy in a competition called Twisted Metal," the ESRB explained.
"As players drive through urban landscapes, they can use chainsaws, machine guns, flame throwers and missiles to destroy other vehicles; races are highlighted by realistic gunfire and over-the-top explosions.
"Players can also choose to run over fleeing pedestrians, resulting in large blood-splatter effects.
"One mode's objective is to capture enemy leaders; a large blood trail is depicted as screaming characters are dragged behind players' vehicle."
Naughty verbals "motherf**ker", "sh*t" and "a*shole" are heard during game dialogue.