"In terms of this specific scene in Martha is Dead, the player walks in a field dotted with huge crosses with mask-wearing dolls hanging from them.
"They were total institutions, like prisons, restricting every facet of a person's life and, as such, masturbation was one of the few things patients were able to do. "These were places where patients were compulsorily admitted and where they often spent their entire lives," he explained. Dalcò says this is based on historical fact and real-life accounts.
That context is that the references take place while the player is in a psychiatric hospital that practices religious as well as medical treatments. In terms of the removed masturbation references, Dalcò made clear there's no visualisation of masturbation or sex in the game but "it's the context that has been considered inappropriate".
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