It's ridiculously violent. You can throw people in the air and cut them into pieces with your shruiken, can bash peoples heads against walls, can bash people against railings and break their back, can snipe people with your speargun, etc etc etc. Thats not even including the cutscenes.
However, that doesn't stop the game from sucking. Some ridiculous timed events, sloppy controls, ridiculous story, and difficulty issues all combine to make the game BARELY playable imo.