British censors Tuesday banned a video game for the first time in 10 years, rejecting U.S.-published “Manhunt 2” for what they described as an unrelenting focus on sadism and brutal slaying.

The decision by the British Board of Film Classification, or BBFC, means the game, from publisher Take-Two Interactive Software, which made the controversial “Grand Theft Auto” series, cannot be legally supplied anywhere in Britain.

The ban prompted one U.S. family group to start lobbying for a rating to ensure major American retailers cannot sell the game. In it, players become an insane asylum escapee sneaking up on enemies and killing them in gruesome ways.