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I remember playing it when I was a child and, even then, I thought it was utter trash. I've not played it since but I doubt my opinion would have changed if I had.
The story behind the game was that all of the playable characters were evil and they had to fight to escape a death sentence or to get into hell or some junk like that.
This explained the crazy hillbilly, the killer S&M wife and the evil surgeon. It didn't explain the conjoined twins.
If you finished the game with one of the characters, it showed you what they did that was so evil. Apparantly, the conjoined twins are evil because they caused their mother to die during childbirth. Not sure how that qualifies as evil.
I didn't really think the gameplay was anymore violent than the likes of Mortal Kombat or certain things on tv. It just sucked.
If they had released it, it would have been panned and any sales would have been because of some mainstream media outcry about it.
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