The evil contained within slightly less evil than anticipated
So Japan gets the ability to cattle prod moaning, ass-up anime girls and the rest of the world doesn't (quite). Meanwhile, we get a gross out Evil Within, while in Japan it has been edited down. I assume the same people mad about not hearing the anime girls moan while you abuse them are exactly as mad about this Orwellian compromise of creative integrity.
"If we were to make it the same way as the foreign version, it’d be rated CERO Z [18 and up] and we felt that it’d be best to release it the way the creators make it," Tetsu Takahashi told Siliconera. "However, that would limit the sales and advertising, so we’d lose the opportunity to reach out to as many customers possible."
So the Evil Within will be edited down to a CERO D in Japan. However, the abolition of a previous rule that disallowed CERO Z DLC for CERO D games means the "Gore Mode DLC" can add that objectionable content right back to the CERO D release. Loopholes!
"Speaking with Mikami [Shinji] about how having The Evil Within be rated CERO D won’t have an effect on the game itself, it has become possible to make it that way," Takahashi said. "Again, this new game is also getting a vast amount of pre-orders, so that also strengthened our resolve."