Anecdotally, there's at least one instance of a ratings change altering the label on the box, Halo 2. A dev buried a photo of him mooning Steve Ballmer in the s

Anecdotally, there's at least one instance of a ratings change altering the label on the box, Halo 2. A dev buried a photo of him mooning Steve Ballmer in the source code, and the ESRB changed the rating to reflect the newly found nudity. This caused a recall and the game box had to be updated with the new rating. https://www.polygon.com/2015/4/14/8382089/bungie-butt-microsoft-halo https://www.polygon.com/2015/4/14/8382089/bungie-butt-micros...