Parents Guide for
Grand Theft Auto IV: The Lost and Damned (2009) (VG) More at IMDbPro »

Like in any GTA IV-based game, you can visit strip clubs and pick up prostitutes.

The Lost and Damned is controversial due to a long cutscene, in which a man is seen fully naked. Buttocks, pubic hair and penis are all visible for a long amount of time.

The violence is the same as the regular GTA IV.

In one cutscene, a man's throat is cut with a box cutter, which is extremely graphic.

In one mission, a cannibalistic prisoner takes a guard and bites him in the neck, with a large blood spray.

Very strong language, almost all foul terms are used a considerable amount of times.

Several characters do drugs (pot, cocaine, heroin) on screen.

Of all the Grand Theft Auto games, this is most probably the toughest game in the series. It does not hold back in nudity, violence or drug use in any way.