This game is rated ESRB: Mature 17+ for Blood and Gore, Violence, Use of Alcohol, Sexual Themes and Language.
The Elder Scrolls IV: Shivering Isles is a 2007 role-playing expansion developed by Bethesda Game Studios for PlayStation 3, PC, and Xbox 360, serving as a major addition to The Elder Scrolls IV: Oblivion. The expansion transports players to a distinct realm shaped by the Daedric Prince Sheogorath, a god of madness whose influence permeates every aspect of the environment. The world itself is split into two contrasting regions — Mania and Dementia — each reflecting a different facet of divine madness and offering landscapes and inhabitants that differ markedly from those found in the base game's Cyrodiil. As an expansion, Shivering Isles extends the core RPG framework of Oblivion into this otherworldly setting, presenting new quests, characters, and areas built around the themes of chaos and duality that define Sheogorath's domain.
