Imho It really depends on the indervidual.
Ive run over innocent peds in GTA 4 and laughed my ass off like psychopath.
Ive even deliberately backed over them if they survived.
Ive also seen real car plough in to a real a 19 year old girl at about 40 mph and frozen in horror! (then called an ambulance)
-lucklily she got away with minor lacerations and a broken color bone and I spent of the rest of the night pretty shaken up.
So no, I personally i have no problem separating the two. but I can't speak for anyone else.
In a movie - an actor/actress got paid
In a game - the geometry didnt feel a thing.
Yes it can be a very realistic representation of something horrific - but
its still 'only a representation'
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