If the ESRB was not formed and the state stepped in

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Cheater87 posted...
What would have their ratings been like? Would they be legally backed or advisory? Which ratings would they have for games?

There probably wouldn't be ratings in the sense that we have them now. The stuff would be classified by the FCC and you'd have to have a license to sell stuff that the FCC deemed inappropriate for all ages and violations would cause loss of license.
It says right here in Matthew 16:4 "Jesus doth not need a giant Mecha."
https://i.imgur.com/dQgC4kv.jpg