This is a (cropped) screenshot from a game called Naughty Bear.
Naughty Bear is not very good, it's an extremely repetitive and uninteresting action game, the kind that was ubiquitous throughout the early and mid 7th gen. It's not very challenging and you've really seen all the game has to offer by the second level.
What is interesting about Naughty Bear is the frankly shocking level of violence and brutality displayed throughout the game and surprisingly sordid theme.
Naughty Bear is a game where you play as a mentally disturbed spree killer, going through levels to systematically murder your fellow teddy bears who are often afraid and defenseless. In retrospective views it's been compared to Postal 1, Manhunt, and most often to Hatred. Unlike those games, it only received 12+ rating from PEGI and a Teen from the ESRB.
You see, there's no actual gore in Naughty Bear - enemies have stuffing for entrails and fluff for blood. Even when you're bashing their heads in with a baseball bat as they whimper in pain it's technically only "cartoon violence". You can make civilians so frightened they commit suicide in the face of your massacre rather than face the pain of potentially being bludgeoned to death.
There's not much "game" to it, there's very little content stretched out and repeated over several hours. The developers never made anything like it before or since.
Both these combined with the strange nature of the game has led to theories about it either being:
>a satire of extremely violent games
>a veiled critique of ratings boards
>a studio testing how far they could go before being told to scale it back, which evidently never happened
Human intimacy will get you an AO but this abject slaughter is perfectly fine for kids! You can still display horrific acts of butchery as long as you abide by all the rules.
I don't know if any of these are true, but I like to think they are.