ESRB wrote:

Fallout: New Vegas

Rating: Mature

Content descriptors: Blood and Gore, Intense Violence, Sexual Content, Strong Language, Use of Drugs

Rating summary: This is an action role-playing game, set in a post-apocalyptic Mojave Desert, in which players assume the role of a survivor hero who investigates a mystery and performs a series of quests. Missions allow players to explore the Mojave Desert, surrounding casinos, and abandoned facilities; other quests involve combat with human and mutant survivors. Players use chainsaws, laser rifles, knives, and sledgehammers to kill enemies. Fighting can be frenetic and intense, highlighted by various camera effects (e.g., slow motion, blurring, screen shakes) and depictions of dismemberment, blood spray, and blood trails. In one sequence, players can choose to activate a collar bomb around a slave-woman's neck, resulting in depictions of blood and gore. During the course of the game, players will encounter male and female prostitutes: the screen fades to black as suggestive dialogue is heard in the background (e.g., "Nice charlies, too! Give them a shake for the Ben-man, will ya?"); there is also an extended sequence suggesting (no depiction) sexual activity with a robot (e.g., "Fisto reporting for duty . . . Please assume the position," "I suppose I should test you out . . . Servos active!" and "Something wrong with someone if they got to f**k a machine."). The storyline sometimes references a fictional drug called "chems," as well as "Day Trippers," "cracked out junkies," and "degenerate, drug-addicted killers." Players' Character can be seen consuming the drugs, which sometimes leads to a screen-blurring effect.

KOMO News wrote:

TACOMA, Wash. -- Detectives investigating the strangulation death of 16-year-old Kimmie Daily are trying to determine whether her accused killer might have been acting out a violent fantasy from Dungeons and Dragons.

...

Savage's previously-clean record has detectives wondering what set him off to allegedly murder a girl with mental disabilities. One theory is something Savage told them about: his passion for video games, and how they help him cope.

"The defendant admitted some kind of connection between the murder and the video game," Lindquist said. "I'm not clear at this point what exactly that connection is. The defendant himself said he went to play video games to forget."

Savage's defense attorney calls the video game connection pure speculation and a rush to judgment.

"What if there's a chemical or organic imbalance or something physically wrong, identifiably medically wrong with his brain that caused this to happen?" said defense attorney Jay Berneburg.