The U.S. ratings body has slapped an ‘M’ for Mature rating on the game, noting it contains many adult-themed elements, including blood, intense violence, sexual themes and strong language.
The summary goes into plenty of detail regarding bread-and-butter gameplay details, and we’ve included the description below for your consumption.
"This is an action game in which players assume the role of a man who must find his family in a post-apocalyptic world. From a third-person perspective, players traverse through city ruins and use a machete to kill human enemies in melee-style combat.
"Battles are accompanied by realistic gunfire, slashing sounds, and cries of pain; characters emit brief splashes of blood when hit. Players have the ability to kill or knock unconscious wounded/vulnerable enemies via finishing moves (e.g., throat slashing, impaling, pistol-whipping); these scenes are highlighted by close-up camera angles and increased player control (e.g., on-screen prompts with button-press sequences).
"During the course of the game, players encounter women who can be saved from nearby enemies; sexual mistreatment is sometimes implied in the dialogue (e.g., 'These guys kept me as their pet, or mascot, or something.'). One sequence depicts the background silhouette of a man fondling and threatening a captured female survivor; the exchange includes phrases such as 'Do you hear me? Don't touch me!' and 'Don't be like that. You know I can make your life a lot easier if you would just cooperate.'
"The words "p*ssy," "f**k," and "sh*t" can be heard in the dialogue."
I Am Alive was originally unveiled at E3 back in 2008, and has kept a low profile ever since. In development for PlayStation 3, PC and Xbox 360, the game was initially pegged for a retail release, before reports cropped up earlier this year stating it had instead been decided to release it as a digital download via PSN and Xbox Live.