I am not upset by violence. I am violent myself
I am upset that people enjoy and demand seeing other people suffer.
Life is cruel, life is violent. But people and animals have to be this way to survive, they have no other choice
Yet survival does not demand cruelty. One can kill for selfdefense, steal for food and lie to live another day
Cruel people though dont just do that. They kick a stray dog, rob the poor and take advantage of disabled.
Or, another type of cruelty - indifference - when people see suffering and dont do anything to stop it because they either dont care or enjoy it. This coldhearted pragmatism when a child cuts a fly's wings to see if it can fly without them
It is not just about the game. This is an attitude which touches both real and fictional worlds
People's indifference is more tied in with bigger cultural issues, and problems with the law. When people can get sued for trying to help someone, than yes it's going to make people wary.
But regardless, I don't see bioware biting the bullet and releasing it as an R18 game. It will be slapped with an MA15+ label, so immature teens can still play it.