We bought this game after buying the PG 13 version of Stuff Happens. It plays the same as the other version. The only difference is that the items on these maps definitely have more adult content. In fact, we're pretty sure there are multiple identical maps in both versions. It's a fun game and always causes debates/discussions when we play. There's always at least one instance where one wonders how they came up with the suffering index, or can't believe that card X has a higher rating than card Y. The only downside is that this game cannot be played too often. Otherwise, you will inevitably begin to memorize certain cards and their rankings. When we play, we usually play more than one round. After each round we will not shuffle the used cards back into the deck to prevent this. And when this game comes into rotation, it will be removed for a while. But we think this is a small flaw in an otherwise interesting and simple game.
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