"This content will only appear if you specifically choose to experience it within the game.
If you avoid selecting these choices, it will not be happening at all in your playthrough." It says.
When in reality should be responsability of the dev to create a switch for that, in the menu options, even before the game starts. That or to ask in the very beginning of the gameplay, like many other games do. It's already overwhelming enough to know that i'm playing a game that has this kind of filthyness as an option... the least the game could do is not hint about that in the gameplay, given the player chose not to.