So this is what's considered "mature" content? And I've always thought that it stands for not-so-easily solvable problems, making decisions that matter - have consequences - and so on. Oh well.
Maybe beloved Obsidian will include a gang / tribe / group that will abduct entire families so they could enslave them, sexually violate them, then kill them, then violate them again and then eat them. While, of course, it would all be clearly depicted.
Following skullcrushing of said gang's members could involve sounds based on real-life torture an slaughter.
My opinion on this - Fallout 2 was optimal (from my point of view), but even 'naive' worlds also have their magic, it all needs to fit together. I'm still very much trusting Obsidian's devs will make the best choice.