On the PC, You can turn off gore in the console command with the command 'bDisableAllGore=1'.

So there isn't any BAD drugs that would come to mind like meth, kokane etc. For example: if you have Pyshobuff, your strength, endurance, and health get boosted. In the game, the medications, potions, or whatever you want to call them, help you play. The drugs, however, are mostly good things you get a CVS. In the game, there is violence and mild drug use. If you are thinking about buying Fallout 4 for your child, you have to think about their maturity level.