I think this game would make a good case study as to how making a game's budget via monthly donation services like Patreon can be a detriment to the game's structure and content as a whole. A lot of the stuff they keep dedicating focus to (the Sisters of Fertility questline or whatever it's called comes to mind) seems less like something that needed to be finished before release and more like something that their patrons want more than a finished game and thus ends up being what they spend their time on. If they had been working on the main quest the entire time, the game would be finished by now.
Aren't there like two more areas that need to be visited before the game is finished? And three of the four currently in the game have been there since launch? No shot this game gets finished any time soon, let alone the potential DLC that they make.
For the record, I have no idea what my proposed alternative would be because I understand that bowing to the will of the people willing to invest is how these games get made in the first place, but it is nonetheless a shame.