Many video games have certain elements removed or edited due to regional rating standards.

Third generation (1985–1993) Bionic Commando – The game was renamed from , the character of Adolf Hitler was renamed "Master-D", the Nazis are renamed "The Badds" in-game and referred to as "The Nazzs" in the instruction manual and all swastikas were edited into a German eagle insignia. Dragon Quest – Nintendo removed salacious humor and religious connotations from the English-language version. For example, in the original Japanese version, in the town where the hero first buys keys, a woman offers to sell puff-puffa Japanese onomatopoeia for a girl rubbing her breasts in someone's face, or juggling her own breasts. In the North American version, the same woman sells tomatoes. Punch Out!! – The character Vodka Drunkenski has his name changed to Soda Popinski in its English release.

List of regionally censored video games

Fourth generation (1988–1997)

List of regionally censored video games

Final Fantasy IV – In the North American version, references to Christianity were altered or removed from the game, as well as certain religious images. The magic spell Holy has been renamed White. All references to prayer are eliminated; the Tower of Prayers in Mysidia is renamed the Tower of Wishes; and Rosa's Pray command is absent. Direct references to death are omitted, although several characters die over the course of the game. Anything considered too risqué has been censored, such as bikinis on town dancers (replaced by leotards). The Programmers' Room special feature (in which the player can find a pornographic magazine) has been removed. New promotional character art was made for published previews. Final Fight – The game's first two bosses, Damnd and Sodom, were renamed Thrasher and Katana respectively (those names were also used in the SNES version of Street Fighter Alpha 2 despite the game released after ESRB was formed); Belger's wheelchair was redrawn to look like an office chair; Poison and Roxy, two transgender enemy characters, were replaced with two male enemies named Billy and Sid; all alcoholic references were removed, with two health-recovering items replaced; the line "Oh! My God", spoken by an enemy when his car is destroyed during the first bonus stage, was changed to "Oh! My Car"; the blood splash effect shown when a character is stabbed is replaced by a generic explosion. Mortal Kombat – Due to Nintendo's "Family Friendly" policy, the SNES version replaced the blood with sweat and most of the fatalities with less violent "finishing moves". Super Mario Kart – There were victory animations for each winning character that involves the use of a bottle of champagne. In the Japanese version, Bowser and Princess Peach drink champagne in their animations (which made them drunk), and this was against Nintendo of America's censorship policy on the depiction of drinking alcoholic products. This was changed to Bowser posing himself happily and Princess Peach tossing it upwards the air and catching it. These changes were applied to the European version. Zombies Ate My Neighbors – All depictions of blood and gore in the North American version are removed or changed to purple ooze. Censorship committees in several European Nations censored more by having the game renamed to Zombies and made other changes including the replacement of the chainsaw-wielding enemies with lumberjacks wielding axes. SimAnt – For the SNES release in the US, animations of an ant vomiting were removed.

List of regionally censored video games