Specifically, the group takes issue with "a game module where players have to drive drunk" as "drunk driving is a choice, a violent crime...not a game."
Though Shacknews is certainly understanding of MADD's concerns, the staff has yet to experience a mission where drunk driving is mandatory. In fact, the game recommends that players make use of a taxi once drunk.
Due to this content, MADD is calling on the Electronic Software Ratings Board to re-rate the game as an Adults Only title, as well as asking developer Rockstar to "consider a stop in distribution."
Grand Theft Auto IV is not the first title in the series to feature drunk driving. In 2002's GTA: Vice City (PC, PS2, Xbox), a mission from Phil Cassidy called "Boomshine Saigon" required players to drive to the hospital while drunk, causing blurred vision and loose driving controls.