The only reality show I watched with any interest was the first season of Apprentice. I saw the original Real World on MTV and it was great... even the season with Pedro the HIV positive gay male was great. Now it's just boring sex-o-rama.
Oh come on! You can't tell me that Meet Your New Mommy (or whatever they call it) isn't compelling TV! Ripping a mother out of the house and bringing in a replacement mom who is mean as crap is just funny. Who cares about psychological scars - screaming, crying kids who just want their mommies is funny.
Well, it's assumed sex-o-rama. Since they never actually show anybody having sex on The Real World, you have to take their word for it that they're actually having sex.