From FOX News story:

Gaming advocates say that violent games like Bulletstorm are intended for adults who understand the humor -- and have the right to play such games according to the First Amendment.

“The primary difference why other countries can outright ban certain types of games, music, movies and even books is simply because they don’t have a First Amendment in place,” said Hal Halpin, the president of consumer advocacy group ECA. “Controlled substances such as alcohol and tobacco are merchandized differently primarily because they’re ingested or absorbed and the chemicals cross the blood-brain barrier. Movies, music and video game are First Amendment-protected free speech.”

[URL=http://www.foxnews.com/scitech/2011/02/20/bulletstorm-censored-germany-videogame-esrb/?test=faces]MORE[/URL]