Originally Posted by
Nestama
And the game is rated R18+ because of that in Australia (if we didn't have that rating for games, it would either have been banned or heavily censored... or it is censored somewhere). A child dying from sickness or some other means (that is not graphically violent in one way or another) wouldn't affect the rating much, but a child being physically harmed, or even killed, would boost the games rating to MA, R or banned.
I looked about and see that Metal Gear Solid V has been censored in certain countries. So there you go.