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In terms of violence, it's brief but when it's there it is extremely brutal or graphic or both.
It is just like the show, and is nowhere near as 'extreme' as Common Sense is rating it.
This is a game that really pushes the M for Mature rating, and should not be taken lightly unless you think your child is extremely mature and can really handle it.
Description: I wasn't sure at first because I do not like the show: South Park at all.