Equivalent to a "R" movie rating, the "OT – Older Teens, Age 16+" rating means that the dialogue may include strong cursing and adult language. Violence, blood and gore may appear in the artwork along with use of alcohol and illegal drugs. Suggestive sexual situations, sexual humor, non-sexual nudity and partial nudity also earn a manga title an "OT" rating.
Examples of manga for Older Teens – Age 16+ readers include:
- Death Note by Tsugumi Ohba and Takeshi Obata (Shonen Jump Advanced / VIZ Media)
- Higurashi: When They Cry by Ryukishi07 and Karin Suzuragi (Yen Press)
- Vampire Knight by Matsuri Hino (Shojo Beat / VIZ Media)
- Mushishi by Yuki Urushibara (Del Rey Manga)
- Pluto by Naoki Urasawa (VIZ Signature / VIZ Media)