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The main character, Guts comes out of water fall in one cutscene with his buttocks showing after bathing offscreen in it. That is what makes up all of the partial nudity in the game.

There is implied sex between the main character Guts and Casca after you save her that and some dialogue references about it makes up the sexual content.

This game contains a lot violence and gore.

There is no strong language just occasional words like shit, bitch, and damn.

Only mild language.

The extent of substances is in scenes people will sometimes drink alcoholic ale.

This game can at times be very intense and frightening especially when the god hand villains show up.