"In the Board's opinion, Saints Row IV, includes interactive, visual depictions of implied sexual violence which are not justified by context," a June 25 statement from the board said.
"In addition, the game includes elements of illicit or prescribed drug use related to incentives or rewards. Such depictions are prohibited by the computer games guidelines."
Saints Row IV launches in the United States and Europe next month on August 20 and August 23, respectively. For more, check out GameSpot's previous coverage.