The ESRB rerated the game Adults Only, causing many retailers to pull it from sale, while the OFLC issued a Refused Classification, banning it from sale in Australia. Within a month of the patch's release, the American Entertainment Software Rating Board (ESRB) and Australian Office of Film and Literature Classification (OFLC) reevaluated San Andreas 's content rating. While players found 'Hot Coffee' humorous, it led to San Andreas becoming embroiled in controversy.

Modder Patrick Wildenborg released a patch to unlock the minigame two days later. Data miners discovered evidence of explicit sexual content after San Andreas was released for the PlayStation 2 in 2004, and confirmed its existence when the Windows version released on June 7, 2005. 'Hot Coffee' could not be fully removed, so the content was hidden from players using cutscenes. Before development concluded, Rockstar operations director Jennifer Kolbe warned Houser that explicit sexual content would likely bring restrictive assessments from ratings boards, harming retail sales.

'Hot Coffee' was included in San Andreas as part of the boundary-pushing vision that company president Sam Houser had for the Grand Theft Auto games. When enabled, 'Hot Coffee' allows players, as protagonist Carl 'CJ' Johnson, to have animated sexual intercourse with an in-game girlfriend. The minigame is not playable through normal means the game must be modded to access it. ' Hot Coffee' is an unofficial name for a minigame in Grand Theft Auto: San Andreas, a 2004 action-adventure game developed by Rockstar North.

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