1up reports that the ESRB has laid out what publishers can expect if they step out of line
regarding game content. From the article: "Vance says the ESRB has the power to enforce up to $1 million in monetary fines for the 'most egregious offenses,' and could potentially suspend publisher's access to the ratings system. Most retailers will not carry games without a rating. Further corrective actions could include pulling advertising until content's corrected, stickered packaging, product recalls and 'other steps the publisher must take.'"