And, yes, homosexuality was lumped in there with stuff like pedophilia and dead-people-buggering, as a gentle reminder that the past was a shithole. At least they specified that a gay character could turn heterosexual if they had a traumatic brush with death, possibly caused by a laser. Don't let the religious right know that.
As most players (we hope) were more interested in anthropomorphic martial artist animal action than dealing with Raphael becoming a sexual exhibitionist, there was some fan outcry. The game's publisher removed the mental illness chart from later editions ... only to replace it with something even darker. The updated version included a detailed scenario where a group of farm animals get radioactive cattle feed and mutate. So, do the turtles need to beat them in a tractor race? Not exactly. The animals, led by Ferd The Bull, take a hundred schoolchildren hostage and threaten to kill a child every hour unless their demands are met. Was this game used to train FBI negotiators?
"Cowabunga, dudes! Better roll those dice well or kids get massacred. Bummer!"