There's a serious founder's effect problem happening, where the first suggestions people made get upvoted and everything else gets ignored. I think as soon as Larian starts marking more of the suggestions (like "Tell Me More" on good but largely ignored suggestions), especially ones farther down the list, that will distribute at least some of the attention.
I do think uservoice might've been the wrong platform for how many suggestions showed up so quickly. Downvotes would've helped demonstrate which suggestions are most controversial, although it's usually pretty obvious based on the comments.
So how 'bout that adult mode, eh? Remember Larian, number one thing people want are blood, bitchin', and breasts. Not sad at all.
