I fucking loathe the tryhard "oh we're so edgay and grimdork and completely serious! hurr durr!".
Edginess for the sake of edginess almost always turns out shit. But that isn't what I was talking about with Azarkon.
If you have a setting which tries to be more mature than the typical Forgotten Realms module, with something like the Hollowborn crisis - an event which will definitely change the way the entire region works: the importance of healthy children, inheritance laws, safe sex, etc. - all of those will be different, and that will reflect in how society functions. PoE sets up those things, but doesn't really explore their ramifications. It's a weird sort of half-solution - which doesn't please either the folks expecting a silly little DnD inspired romp, nor the fans who wanted to see what Obsidian could do if they didn't have the creative constraints of a publisher or license looming over them.