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PEGI gives Balatro an 18+ rating for gambling imagery
(files.catbox.moe)
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I found at least 2 cases where Gambling is the only Descriptor for the games and they have explicit gambling, like full on Black Jack, but are rated 12+.
On the other hand Balatro just uses card imagery and some mechanics but not directly transferable, as in, it's not poker. Its like making Rummy or other card games that use the standard poker deck 18+.