Sekiro: Shadows Die Twice has been rated by ESRB and given M rating, which is similar to other From Software games.
ESRB has also shared the description of what content they thought was violent. There are no spoilers here so if you want to see how much blood and gore is featured in Sekiro: Shadows Die Twice, find out in the description given below.
This is an action-adventure game in which players assume the role of a disgraced shinobi on a quest to rescue his kidnapped lord in ancient Japan. Players use swords and a prosthetic arm to battle members of an enemy clan and supernatural demons in frenetic combat. Large blood-splatter effects occur as enemies are killed; some attacks result in decapitation and/or dismemberment. Cutscenes depict additional acts of violence: a man impaled through the chest with a sword; a child stabbed with a sword off screen.
Sekiro: Shadows Die Twice is currently in development at From Software. They announced this project at E3 2018 and it is their first new IP after the success of the Souls series. They have taken it to a Western publisher this time with Activision taking charge of publishing the game in the Western market.
Sekiro: Shadows Die Twice will be out on March 22, 2019, for the PS4, Xbox One, and PC.