The British Board of Film Classification has bestowed an 18 (Adult) rating upon Grand Theft Auto: Episodes From Liberty City, the bundle which features both The Ballad of Gay Tony and The Lost and The Damned.
In doing so, their report contains a few spoilers from both games, which we won’t detail here. The BBFC noted that “at least four uses of very strong language that crop up in some of the cut scenes” bounced the rating up from 15 to 18. “Strong sex and violence and hard drug use” also contributed to the higher mark.
There is also sex scenes, which are “quite strong, but always masked and the characters concerned are invariably fully clothed (no nudity).” Portrayals of cocaine, in addition to references to drug trafficking, are also spread liberally throughout the game.
“There are blood spurts as people are shot and stabbed etc. and pools of blood form on the ground. However, there is never any discernible injury detail and it is not possible to inflict post-mortem injuries, although there is considerable ragdolling as dead bodies are shot.”