I mean, you can smash for sure, and the companions are all up for it, but it's not like the game starts and your boning. There are a bunch of reviews with people saying "I'm no prude....BUT" which to me is confirmation that the reviewer is in fact a prude. The sex is no more front and center than Game of Thrones, and so far in my 25 hours or so it's far less explicit than GoT. Even though you can choose what your penis or vulva looks like. To bush or not to bush.