Common Sense Media is yet another media watchdog sort of group with a tendency to annoy gamers. In the past they've voiced their disdain for Manhunt 2, saying it shouldn't be released, and supported California's controversial bill to make it illegal to sell violent games to minors (including Teen-rated games).
It's good to know they're not beyond reason, then, with this look at the Grand Theft Auto IV downloadable content (DLC): The Lost and Damned. They seem reluctant to love the content, but eventually give in, motorcycle torture and all. This is what the parents section reads as:
"Parents need to know this game GTA IV downloadable expansion is most definitely not for children, tweens, or teens (under the age of 17). It is even more controversial than its predecessors because this game has full frontal male nudity. The game lets you lead a life of crime as part of a motorcycle gang with plenty of gang violence (including pushing someone's face against a spinning mototcycle wheel in a bike repair shop), relentless foul language, drugs and alcohol, and sexual references. The star rating (4/5) given to this game is based on quality of gameplay within this adult genre of video gaming and is not an endorsement of the violence within the game."
Conversely, they ask why some of the things in the game were put in there (like the nudity), if they "were not integral to the story", finishing with "Do [Rockstar] correlate media outrage with extraordinary game sales?" The review itself concludes with this: "the content is designed for a mature gamer and for someone who enjoys the virtual, visceral thrill offered by past "GTA" bad boy games. With this in mind, it truly is a fun ride worth considering."
Notably, Common Sense seems to feel the DLC should not be Xbox 360-exclusive.