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Those of you in Germany, Japan and Australia need to be warned: you may never see MadWorld released officially in your region. Hell, the game won't even be shown at "sensitive markets" like TGS and German conventions. Also, SEGA has said that these markets are "not part of SEGA's strategy right now".

Bummer. Hopefully the review boards in those areas go easy on the game due to "comic" violence.

Source via Kotaku

That sucks for them, trying to replace the blood would be difficult unlike in NMH since blood is the only color in MadWorld.