Although Larian has put a lot of effort into nudity and sex, I don't see the same for violence and gore and the contrast makes it less convincing for the Forgotten Realms that I imagine.
The plastic nature of the models with no dirt or blood, the blood that doesn't look like blood.
The sound effects of the weapons has lost the authenticity of visceral blows.
The lack of dismembering or decapitation.
It is not that I am pro-violence but I think something is missing to portray FR as it should and justifying the R rate.
