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The original game I think is fine for 13+,
although there are some notorious images that make people think of sex, this is by accident.
It is full of TF content, but if you don't already have a particular affinity towards TF, I don't think that will affect you.
The remake, however, I would put at 16+. It is more graphic and while it still doesn't contain actual sexual content, it's full of attractive furries and detailed animations.
If you are worried about doing something to yourself by playing this game, don't be, just press F12 whenever you get hit by an enemy.
I cannot say if it's safe to stream Changed for all ages.
I think it's fine for 13+, but I am not Twitch