This chapter examines some cases of genitalia appearing in Western games that are not porn-related games and discusses the complex reactions people have when confronted with genitalia in such games. Human beings generally play games because they need play or escape. Some people refer to sexual activities as "play," and engage in these sexual activities for similar reasons. Representation of, or inclusion of genitalia in video games will almost certainly be more complicated than just "considering your Entertainment Software Rating Board rating" because of all the body issues and other complex considerations, which go along with it. Enter gay independent developer Robert Yang, who made a game called Cobra Club, about taking the perfect dickpic. The character design part of the game had more work put into it than the game itself. There are certainly adult games that are sex games, in which genitalia appear.