This is an open-world role-playing game in which players must survive/thrive in a post-apocalyptic world. From a first- or third-person perspective, players search for supplies/food while battling other survivors and mutant creatures. Players use machetes, machine guns, rocket launchers, and grenades to kill ghoul-like creatures and other enemies in frenetic combat. Some weapons allow players to blow ghouls apart, resulting in flying limbs and chunks of flesh; wounded characters can also be executed with gunshots to the head, resulting in decapitation. The game includes frequent references to drugs called Chems, which are sometimes used as plot points for characters; Chems can be found, manufactured, and used to enhance performance/skills of characters, though there is no actual depiction of use. A handful of story missions require players' character to acquire ingredients to make alcoholic beverages; one alcoholic drink (Nukashine) can discolor and/or cause the screen to blur after being consumed. The words “f**k” and “sh*t” appear in the dialogue. 1: Blood and Gore 2: Drug Reference 3: Intense Violence 4: Strong Language 5: Use of Alcohol