The point is, the game portraits a terrible world. The game contains people killing each other, that doesn't mean the developers condone people killing each other in real life. The game contains megacorporations misusing images of trans people for advertising, that doesn't mean the developers condone that either.

I think it's usually well understood that something being in a work of media doesn't mean it's representative of the views of the authors, in fact it's very common for media to contain themes like violence and abuse, not because the author is condoning it, but because the author is building a dark world for their piece of fiction.