It looks like they blur out the "dirty pillows".. Damn! Even if they don't they can give a M rating or even AO.. Take god of war III for example Cratos is knee deep in succulent breast candy the entire game, and no one got sued and it's only M rated. And if it gets a AO rating it's true most repeatable stores like Walmart won't carry it as a matter of policy, but if people want to knock one off bad enough they will still be able to find it some places.
EDIT: I meant god of war III
EDIT: I meant god of war III