Let's be real here, and let's just forget about tits, vaginas and dicks for a second... a simple google search will show you how the US classification system for games work... let's have a look:
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Riiight... so now, guess which game starts with a teenage girl getting ran over by a car and left blodied on the street, while the driver points a gun at another teenager?
Guess which game has depictions of a teenager using drugs?
Guess which game has an extreme over-use of foul language, including very no-no words like retard and cunt every 5 seconds, threats of violence (jokes about school shootings) and various other forms of crude and vulgar language?
Now... why would anyone try to pass a game like that as a 13+ game is a very good question... but then you add all of the sexual stuff on top of that, even if it's just tit shots, and yeaaaaaah, I'm not sure what the plan was.
So, like, if he decided to "censor" the game down to a 13+ rating so he could sell it in germany and all that, then he should've ACTUALLY removed all the problematic content, not just some dick shots and some random nudity... But of course, doing a full sanitization would've made most of his fans furious, because it would be a HUGE departure of what the game is supposed to be and what he promised them... so instead he did a really half-assed job of trying to tone it down a bit, but really, what the fuck was he expecting to happen?
It would've been faaaaar easier, quicker and simply better to cut his losses on a couple of songs and on being able to sell it in fuckin germany, like every other AVN has to do...
But here we be ¯\_(ツ)_/¯
Anyways, at this point it feels like I'm beating on a dead horse, so bleh, I'm off...