Rrat time but I feel like Bae playing Genital Jousting is what triggered this. Maybe Takeshi didn't like what people were saying about Holo for letting it go through or maybe JP fans didn't react positively to the game. Maybe they feel letting too many yabai games go through would affect the company rep too much. Either way, the result is now they're being stricter about perms. It's the only reason I can think of for why Trials is randomly banned from both EN and JP, especially since Gura played the beta months ago and was fine. Also the Whistleblower DLC for original Outlast shows a dude sawing a dick in half or something and that was okay for the girls to play so this ban feels rather spontaneous and reactionary.
Maybe I just want to blame Takeshi for something else but hey the guy's an easy target