As for me, I like NSFW content as its part of the game and if possible, maybe even the toggle-able one, as in, include difficulty into NSFW content or just a little sidetrack to enjoy.
Sure, it makes the game harder but I feel like I interact with the content itself more this way as it becomes part of gameplay itself, not just extra content that you can lob off and sell the 'clean' version on Stream, then re-download the NSFW content separately again.
But hey, it's just personal taste, I ain't judge anyone and I tend to cheat the hell out of any adult game anyway so I can always enjoy them my way, sometimes I like it chill, sometimes I like it rough. If the dev can make this as toggle-able, then that's a win-win for everyone.
As of today, I have no idea that the infection bar can kill you as another condition, I always wonder what the red ring beside the health bar does as it keeps increasing when getting fuck, as well as can be overlapped about 3 times. Maybe gotta try that again someday without any cheat.