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Games shipped with the M (17+) rating by the ESRB, which was started in 1994.

Games with this rating contain content which the ESRB believes is generally suitable for those aged 17 years and older; they can contain content with an impact higher than the "Teen" rating can accommodate, such as intense and/or realistic portrayals of violence (including blood, gore, mutilation, and depictions of death), stronger sexual themes and content, partial nudity, and more frequent use of strong language.

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