Before getting to anything else, Agony has an M rating from the ESRB and it definitely deserves it. In fact, it originally would have received an Adult-Only rating, but the developers tweaked the problematic scenes, as an AO rating would prevent a console launch. The descriptors given are strong sexual content, nudity, strong language, intense violence, and blood and gore. If such content is not appropriate for you, and there is a lot of all of this content, then there is a good chance the media within this review is also not appropriate for you.