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Ratings > SEGA Rating > 推奨年齢　ＭＡ－１８ / Suitable Only for Adults - Mature 推奨年齢　ＭＡ－１８ / Suitable Only for Adults - Mature

MA-18 seems to be another version of the 18 rating.

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box cover thumbnail Idol Janshi Suchie-Pai Special 1993 Arcade, Windows 3.x, PlayStation...