There is no "strong sexual themes" anyway, it's rated M for blood and gore, drug reference, intense violence, sexual themes(not strong), and strong language. I don't know why it has a sexual theme rating. You'll figure out when the game is released.
If it was Strong Sexual Themes, I believe there will be a part of the game that actually takes place in an part of Rapture specifically designed for sexual urges. Since they are basing it off of a Utopian Society, and all...
[spoiler] The Big Daddies are obviously actually former pimps that survived the fall of Rapture but were corrupted. I mean, they're fricking called "Big Daddies" - how can they not be players? [/spoiler]
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