Issues in Australia:
Fallout 3 came into conflict with OFLC (the rating system used there) largely in part of the drug use the game simulated. Bethesda Softworks made changes to the Australian version that takes out the actual drug usage, but was still denied a rating by the OFLC, that felt there was still too many drug references to receive a 15+ rating. Bethesda basically came up with the idea to only release the game world wide and the only change to the game would be renaming the real world drug 'morphine' to med-x.
Med-X:
Issues in India:
In October 2008, Microsoft announced it would not release Fallout 3 in India due to the depiction of Cow-like figures, which for religious reasons might offend the public there. (Brahmin, which is very closely related to the real world 'brahman', are used in the game that can be equated to a malnourished 2 headed cow). See below:
Issues in Japan:
Bethesda Softworks made changed to the optional mission "The Power of the Atom" in the version released in Japan to avoid criticism in depicting an atomic bomb being detonated in inhabited areas. In the normal version of the game, the player is given the option to active, ignore, or defuse a dormant atomic bomb that is in the center of the town of Megaton. The character, Mr. Burke (who encourages you to blow the bomb up for a large amount of money and a home in a different location) has been removed from the game entirely.
Another change was made to the Japanese released version, by renaming the "Fat Man" nuclear weapon the player can use to "Nuka Launcher", since the original name was referencing to the bomb used on Nagasaki.
Tetsu Takahashi, the person who dealt with public relations between Fallout 3 and Japan, said that the game would have received a CERO rating of Z, boarding on the game being banned, if the changes weren't made to the Japanese version of the game.
If the player chooses to detonate the bomb in Megaton one can expect to see this:
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