Not a great sign if the game already has broken dialogue on v0.2 that the dev says they're unwilling to fix.
I don't want to misquote the guy so this is the entirety of the conversation on Patreon.
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Me: I do like the option in the settings menu! Is there any way to change how the characters refer to each other or at least Ann? Max refers to her as Ann at least once early on and I'd prefer he use her title.
White Silver: No I can't. And I can't do the patch officially because Patreon is strict about that.
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I don't have a Patreon page and I have no first hand knowledge on how that works. I would have expected the "Activate Incest" option to be a point of contention, more so than a variable the player can define.
"What is this person's name and How do you refer to this person?" Let the player type in Ann and Mom, that seems to fly under Patreon radar.
¯\_(ツ)_/¯