It doesn't bother me at all, but the concept is also not even mildly attractive. It is not everyone's cup of tea, simply put. Same deal as seeing a woman with a dick - it invokes disgust, and playing those types of games is a waste of time for people who aren't attracted to that kind of stuff. Has nothing to do with "letting it bother you" or "separating games from the real world." Crazy logic, there.