 Usually this entails a simple removal or reduction of depictions of blood and gore, but often extends to cuts in the content or plot of the game, as was the case in games such as "Phantasmagoria", "", "Counter-Strike", "Grand Theft Auto", or "".All games that are released to the public are required to carry a certificate given by the USK (Unterhaltungssoftware Selbstkontrolle - Voluntary Monitoring Organisation of Entertainment Software).If the USK refuses certification of a title, it may be, and often is, placed upon the index of media harmful to youth kept by an offshoot of the Federal Ministry of Family Affairs.