Gratuitous gore for specific scenes in games that don't otherwise have any can feel out of place and cheap but whatever. Video game gore isn't doing much for me. Realistic looking gore in movies though that's a different story.
Varying on how "gore" is presented and utilized to emphasize some sort of point is what determines it for me. Gears of War does a fantastic use of gore, making it completely secondary only to serve as a spectacle. Other games like dead space which have it be a narrative device is questionable because it raising the use of gore as a "crutch" to make the story seem more meaningful. Personally, i couldn't care less about gore, and enjoy it being used for ridiculous reasons.
Realistic gore is just a neutral to negative at this point. I don't like autopsy centric TV shows either.
The blood and death thing usually does not bother me if it is done in a detached and non-realistic way, but what I'm realistically looking for feedback vs. aim. If random green spots is the thing, whatever, but just making it gross is off putting.
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