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The following is a list of video games that have been given the " Adults Only " AO rating by the Entertainment Software Rating Board ESRB , a United States -based organization which rates the content of video games to determine its appropriateness for specific age groups. Although it is not legally binding under U. Games with the AO rating are considered by the board to be suitable for players age 18 and over; AO-rated games can contain higher levels of violent, profane, sexual, or pornographic content than the next-lowest rating on the scale Mature [M], generally considered suitable for players 17 and over can accommodate. AO is the highest of the ESRB's content ratings, and restricts the commercial availability of games which carry it; all three major video game console manufacturers Nintendo ,  Microsoft ,  and Sony  refuse to allow AO-rated games to be published for their platforms, most retailers refuse to stock AO-rated games, and the popular video game live streaming service Twitch explicitly bans all games carrying the rating. Due to these self-imposed restrictions on the marketing and distribution of games with the rating, the AO rating has been described as a "kiss of death" by critics, and is essentially a ban.
If you've landed on this page in search of 3D-rendered smut, you've come to the wrong place. But if you're looking for a complete list of AO-rated games, you want Wikipedia. We'd like to consider the concept of Adults Only games in a different light. Some games can only be enjoyed to the fullest when you've got the years of life experience and perspective that comes naturally with being a well-adjusted adult. The following selections don't revolve around gratuitous gore or pointless titillation, though most of them incorporate violence and sex in a meaningful way.