The BBFC has rejected Rockstar's Manhunt 2, banning the controversial title from sale anywhere in the UK.
Both PlayStation 2 and Wii versions of the game have been banned, with the BBFC unable to recommend cuts or removal of content to make it suitable for public sale.
"Where possible we try to consider cuts or, in the case of games, modifications which remove the material which contravenes the Boardās published Guidelines. In the case of Manhunt 2 this has not been possible," revealed David Cooke, director of the BBFC.
"Manhunt 2 is distinguishable from recent high-end video games by its unremitting bleakness and callousness of tone in an overall game context which constantly encourages visceral killing with exceptionally little alleviation or distancing.
"There is sustained and cumulative casual sadism in the way in which these killings are committed, and encouraged, in the game," he continued.
The BBFC has stated that the sequel to Manhunt is far more brutal and bleak than the original title, which was granted an 18 rating in 2003.
"Although the difference should not be exaggerated the fact of the gameās unrelenting focus on stalking and brutal slaying and the sheer lack of alternative pleasures on offer to the gamer, together with the different overall narrative context, contribute towards differentiating this submission from the original Manhunt game," added Cooke.
"Against this background, the Boardās carefully considered view is that to issue a certificate to Manhunt 2, on either platform, would involve a range of unjustifiable harm risks, to both adults and minors, within the terms of the Video Recordings Act, and accordingly that its availability, even if statutorily confined to adults, would be unacceptable to the public."
The last game to be banned by the BBFC was Carmageddon in 1997. Publisher Rockstar has the right to appeal against the BBFC's decision.
Rockstar was not available at the time of writing.