Mature Content Description

The developers describe the content like this:

Explicit and frequent depictions of sexual acts (couples, group, transgender, femdom, fantasy creatures), sexual assault/non-consensual sex, gender transformation.
It also contains extreme realistic violence and blood.
Some people may find this game to be frightening or unsettling in nature.
Use of alcohol and tobacco.

About This Game

• Fully customizable character, and how you build him can have significant implications on the game as a whole.
  
• Try to take control of your fate, or allow events to pull you along at their mercy. Playing different styles of characters is rewarded through unlocking different content as you play, meaning that no two playthroughs will ever be quite the same.
  
• Discover clues that you can follow as you explore side stories that often shed additional insights into the world you find yourself in.
  
• Explore a corruption ravaged island, experiencing hundreds of scenes, many of which evolve as you learn more about the island.
  
• Every character has a story, and those stories are interconnected in often subtle ways. Talk to the people, learn about them, unravel their secrets.
  
• Not one, but TWO slow transformation mechanics that can over time can completely change your character.
  
• A system for tracking madness. The terrible things you see will fray your sanity, driving you mad bit by bit.
  
• A fully implemented combat system with several enemy types, and enemies who will sometimes behave differently each time you encounter them.
  
• Seventeen different endings to the game to find. How will the island change you, and how will those changes alter your ultimate fate?
  
• Completely remastered artwork!