User blog comment:The Smiling Scum/Skyrim Allows You to Engage in Cannibalism/@comment-4057384-20111104011333/@comment-75.169.165.250-20111104181747

The sexual content is just things that are in the books in game, and things various npc's say. You can see the report at the esrb's website, under skyrim. Myself personally was worried about this but it is very mild and does not show or have sound bits for sexual content. It is for sexual themes.