XANDER CAGE
Member
Viscerally satisfying gore and realistic gore are two very different things IMO.
I personally don't need to see an AI enemy soldier desperately trying to stuff his intestines back into his severed upper torso while crying for his mother as he bleeds out spending the last few seconds of his life crawling away from me in horror, fear and confusion, a la Saving Private Ryan.
Right, that's another good point and it's integral to tone. Someone holding a knife close to Snake's eye in MGS3 makes me wince harder than watching Kung Lao cut someone in half with his hat because, well... one of those things is a lot more intense, even without any really truly graphic content. The threat of gore is enough for MGS3, but that's because that's how the game is directed. Conversely, The Last of Us has some pretty powerful moments of graphic violence (and general grossness with the enemies) and gory aftermath that wouldn't have quite the same narrative impact without gore. Visual direction is an incredibly powerful tool in narrative, and gore can play into that.
This is also why I think "just have an option to turn it off" isn't such a simple answer, though - I think it's truly integral to some things. The Last of Us or Mortal Kombat without gore removes key dramatic moments and key humor respectively. For simple things like multiplayer shooters, of course, add a toggle, but for narrative driven games I think it's much more difficult to simply excise a part of the package.