Thanks for answering, but I thought there was also a problem that Patreon saw with some being too young (might have been another game, or might have been a false report) and in that case I would have thought a patch would be required.
I wouldnt really call 90% of the other games focused on incest or rape though, the word rape is at least a bit too harsh. Dont think many would want characters screaming or crying or in pain at all.
Anyway yeah, if its not the main focus that change hopefully works, but the message above from Patreon still at least for me points to not even allowing an option. But well who knows, the enforcements seem to change considerably from case to case.
Oh and I already seen two people doing a Lets play for it on Pornhub, dont think most other games get that attention.