gamer1210

That is true. The publisher is supposed to provide a video of the most extreme content and then we watch it like a movie. The only time the game is played is after it's released. Publishers can be fined if there ends up being content in the game that was not disclosed in the video.

ESRB ratings are supposed to represent cultural sensibilities, and for whatever reason, this country sees nudity as being worse than violence. In video games, this is also because violence is kind of a necessary game mechanic but nudity is not. There really isn't a lot of video game nudity, anyway.

The rating you are thinking of is AO (Adults Only). Sony, Nintendo, and Microsoft will not give you the license to release a game on their consoles if it is rated AO. So almost every single time a game gets an AO, the publisher will tweak it so that it gets an M instead.

Yes. They are required to and can actually be fined if they don't

The latter