According to ESRB, this game contains: Blood and Gore, Intense Violence
Parents are strongly cautioned. This is one extremely gruesome videogame. Heads explode like overripe melons. Bodily fluids are splashed everywhere. Depressing environs like graveyards and abandoned medical labs will likely frighten impressionable teens and young adults. There's nothing overtly sexual in the game, though there are some minor flirtations, and one scene that looks like a rape is about to take place. Obscenity count: two. Death toll: countless. The creatures, which will seem silly to anyone over the ago of 18, could potentially upset children.
Fans of the Resident Evil series are obviously in for a pleasant surprise. This is arguably the first true sequel since the series' inception. Fans of horror movies will recognize allusions to Jaws, Aliens, The Thing, The Evil Dead, Dawn of the Dead, and The Texas Chainsaw Massacre, among others.
Subtitles are available for the benefit of the Deaf and Hard of Hearing, but some of the sound effects-particularly the rasp of the Regenerator, which serves as a much-needed warning that he's approaching-could leave them at a loss.