This game may contain content not appropriate for all ages,
or may not be appropriate for viewing at work.

The developers describe the content like this:

“Valley of Shadow is a journey filled with direct references to shame, guilt, alcoholism, substance abuse, domestic abuse, suicide and death. You will follow one man's path through therapy as he explains and details his struggles from childhood to adulthood and how he both experienced and overcame these traumas. Tobacco, alcohol and prescription medications make regular occurrences throughout the experience, as well as references to shame, suicidal ideation and human burial.”

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