I'm guessing...maybe...for adults since there is already a symbol for rated teen Video Games.
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It usually means it is sexually explicit.
they can if an aldult buys it for them but they shouldn't even buy them
Club Reps - 2001 is rated/received certificates of: Netherlands:12
Calling Kuroki chakushin - 2009 VG is rated/received certificates of: Ireland:12 UK:12 USA:PG-13
You can't buy them at that age. Whether you play them or not is up to your parent or guardian.