'This is a vast and complex subject, and the changes that have been made distort the gaming experience.' LKA's founder and CEO Luca Dalcò said the modified scenes are a very small part of the game, and 'PlayStation players can still experience the story we’re trying to tell. PlayStation declined to comment when approached by IGN about Martha Is Dead, and it remains unclear if the changes were made due to an overall policy on game content at the company, or if this was a decision made based on this single case. They clarified that 'platforms and retailers always have the option to make choices about the content they want to offer their consumers,' though 'situations like this are uncommon'. A spokesperson for the board told IGN that it's unusual for companies like PlayStation to take decisions about what's appropriate into their own hands. Ratings board the ESRB, rated Martha is Dead M for Mature on all platforms.

'Although the changes were not planned and the modifications did result in a slight delay in being able to start production on the physical edition, PlayStation fully supported us to help minimise this delay.' Neil Broadhead, marketing head at Wired Productions, told IGN that these changes were made due to talks with Sony itself: 'The changes in content were made as a result of conversations with PlayStation in the lead up to our launch. However, at the time, the details of what was changed were not available.

The changes were announced on February 14, ten days before the game launched on February 24, alongside news that the physical PlayStation versions of the game would be delayed for a short period of time. Charity Safe In Our World was approached by developer LKA to include a message within Martha is Dead to help players struggling with mental health issues, and this is now displayed at the beginning and end of the game on all versions, including Xbox and PC.

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