The Yakuza games have had pretty major changes, even if they arent necessarily main story changes.Couldn't a similar case be made for something like yakuza though with how they run and yet nothing at least in the main story was changed. What about-ism aside definitely still think that the understanding part could've been fixed with better explanation of the industry the cultural acceptance possibly could've been an issue but we have no real way of knowing
But, again, what is the difference between "censoring" one thing for cultural reasons vs "censoring" another for cultural reasons. You said one example was fine but why isn't the other.