Grand Theft Auto: San Andreas has been re-rated as AO (Adults Only) in the USA as the result of an investigation by the Entertainment Software Ratings Board into a sexually explicit mini-game that could be by following instructions online.
The title was originally rated M (Mature), which is normally the highest rating granted by the ESRB to mainstream games and means that the title is suitable for over 17s. The far less common AO badge is seen as hugely commercially damaging, as the vast majority of US retailers have a policy of not carrying AO-rated titles.
Rockstar now plans to remaster the game without the offending content, which will allow it to continue to see the title as M-rated; however, until those copies can be shipped out to replace existing stock, that stock will either have to be removed from shelves or re-stickered with an AO rating.
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News source: gamesindustry.biz