It depends on the game. if it is a sequel, that has established itself as violent, then it should continue like that.
I think GTA4 should of had more gore though (e.g, when someone is shot with a rocket launcher, or a shotgun at close range, there should be some limb removal). More gore in GTA4 would have worked brilliantly with the physics engine they used.
Also, horror games must have some form of gore, as it is the staple of the genre.
Fallout 3 has insane amounts of gore, but that does enhance the gameplay and atmosphere of the gameworld
Really, i think it depends on the game
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