It’s real in that this was actually produced by an Israeli construction company. It’s fake in that this isn’t actually happening or approved by the state.
You’re clearly in the pocket of Big TV Stand.
It would vary by server, but pixelfed.social and pixelfed.art just require sexually explicit or violent images to be marked sensitive.
Edit: I think sensitive images or specific tags might not appear on the daily trending list though. For a while it was just a wall of dicks and now it’s not. But those posts wouldn’t be deleted and people wouldn’t be prevented from seeing or boosting them either.
Might be a good time to dip a toe in the waters over at Pixelfed, if you haven’t already.