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Well, depends on how far you're willing to go. I mean there are things like, killing children on screen... And much worse stuff I could think of... The question is, will anyone actually go there?

Well, the sex scene happens either way. I didn't see a way to not execute it... I guess unless you kill off one of the characters or get one of them arrested.

Either way, the sex scene... It's tasteful. It's love making. And I mean, was it absolutely necessary? No, I guess not. But you could say the same thing about a lot of movies. And yeah, I get that games aren't movies, but content wise, I don't see why movies can get away with more than games. Especially since movies are made with actual real people, real actors, whereas games, it's all simulated, and oftentimes very stylized.
And yeah, there's still that ignorant-nay, stupid-stigma among middle aged people that games are just toys and they're all for kids. But those people don't know what the hell they're talking about, and they don't care to listen to reason. The most video games can do now is exactly what Heavy Rain is doing. Say, "Non-gamers might look down on it, but let's do it anyway." And with time, like violence, it won't be approved, but it'll at least be tolerated.

Wait, who complained about something like that? Actual gamers?