According to ESRB, this game contains: Blood, Crude Humor, Language, Suggestive Themes, Violence
Parents might be a little concerned about the T rating and the laundry list of reasons for it, but the game is not particularly mature or offensive. In comparison to the two Underground titles, this release is actually more restrained. In short, there's not a whole lot of objectionable stuff here to worry about.
Hardcore Hawk fans will invariably pick this title up—but once again, the series is starting to look a bit worn around the edges. There are new things here, but at the core, this is the same Tony Hawk game we've been playing for years now. It's still good, but we're reaching the point where if we've played one, we've sort of played them all.
Casual gamers may want to give this outing a shot since it seems significantly easier than earlier iterations. I've never been good at these games (despite liking them), but I'm actually decent at this one—and as much as I'd like to think it's because I developed "skillz,I know that's not really the case. My stepson, who is good at the game, remarked about how easy most of the challenges were in this outing compared to something like Tony Hawk 4.
Deaf and Hard of Hearing gamers will once again miss out on the soundtrack (which isn't really as great as it has been in previous games), but all the other dialogue is subtitled.