What you're in to, in the game world or any art for that matter, very well may not translate to the real world. The utter shock of seeing some of this stuff for real is such a profound impact that I seriously doubt any of us playing games can even just imagine the real thing. This goes for shooting, fighting, dying, rape of any kind, molestation of young folks(didn't want to use the usual words) and niche play with bodily fluids of the unhealthy kind.
You don't get PTSD from these games. You may just get to various degrees of uncomfortable. And besides, nobody will be forcing any of us to play them, or to look at someones art, or listen to something scary/disgusting.
Personally I don't enjoy suffering in games just for the sake of it. It has to have a narrative purpose. I don't play games to be abused. That's me. Well portrayed suffering in films is something I try to stand back from, i.e. not take too serious. I had to stop watching the film "Hereditary", but will continue. One moment of grief was so well portrayed I couldn't bare to watch any longer. And I'm not blaming anyone that did not feel the same way I did, or the film makers.