Epic Games and People Can Fly's latest game, Bulletstorm, has been given a USK 18 + rating by the German Entertainment Software Rating Board. Some serious changes had to be made to the game before it could be released in the region. Despite the adult rating, the German version of the game has a number of things omitted such as ragdoll physics effects, blood, blood splatter, and dismemberment.
While the game can't be banned at this point by the German youth protection board (BPjM) because it has been rated, German gamers will once again get a game experience that has been censored and watered down in the name of protecting the country's youth from violent content. Developers and publishers that want to do business in the country are well aware of the limitations and challenges thrust upon them by government rules and restrictions, with most chalking it up to "the price of doing business in Germany."
EA is the publisher of the game in Europe.