"The Sims" is written for 95% in C# and 5% in C is that a small sized game?
"Osu!" , Also a game written in .NET with a avg of 10k people online, and there where even World Championships about this game, is that a small sized game?
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He didn't say they were mutually exclusive. Frankly the size of the game is pretty irrelevant though unless you have 10K LOC in C# and C++ and are comparing the readability of both.