Dear lord what a mess. This might honestly be the worst story for a hentai game I've ever played on this site. I'm not entirely sure how to organize my thoughts on it so this will be rambly, just skip to the dash if you want an art/content review.
It starts out seeming like it's going to be a really personal and intimate story about the challenges of growing up trans, which hey, I may think is a bit heavy for a porn game to tackle and will probably find myself strongly disagreeing with the dev on some stances involving children, but I'm willing to hear your tale and experience a new perspective. That lasts for about one chapter until the game just devolves into a skitzo mess.
How much of a skitzo mess? After the entire intro that goes into great lengths about how asexual and repressed you are having only two erections your entire life, the game gives you an option to find a female friend attractive or not. Even if you pick not attracted, the game responds like you are, but ok.. an awkward setup but maybe there's a good romance to come, right? .. Well with no other interactions than that, this friend character progresses to absolutely loose their mind with lust over the next few days and attempts to rape you. You freak out and say you never want to speak to them again. Later on when she breaks down crying and apologizing asking for forgiveness, the MC ponders on how to make her a sex slave... what.
The older sister character hates your guts because.. get this, your father sexually molested her. She loved it however, so she hates you because your trans healthcare took too much of dad's attention from molesting her. She then conspires to have you get abducted and sexually assaulted because of it.
Like... I've never really been one to harp on that you shouldn't include rape or molestation in your story without good reason, but this game really has me questioning that with how awfully I've seen it used here. And this isn't like pervy hentai game porn 'rape', these characters are having melodramatic emotional outbursts over this. It seems anytime the dev needs a crutch to add drama to a storyline, they throw rape at it, all while having an MC that's willing to trap straight men and to cum inside women who are explicitly not consenting to be inseminated and it's waved off with a hand.
And dear lord how do I even begin with Kevin and the other male characters. Kevin is perhaps the most extreme cartoon caricature of a transphobe jock guy I've ever read in my entire life that I don't even think 2014-era tumblr could have imagined it up, and of course he's secretly attracted to you because cliche. The other male, the cute shy Brad, proceeds to become a complete bait-and-switch as he gets one beer in him and turns into a rapey creep. I'm not sure if the author just actively hates men, has never met one, or just really thinks these are compelling characters, but it is comically bad. And because these characters and your evil sister form an axis of evil to try to make your life hell, you're forced to spend a ton of time with them as a reader experiencing their awful writing. Oh, and more rape.
Also, I hope you enjoy constant flashbacks to show you things you already know from the dialogue. The writer's adage is show don't tell, but I think both telling and showing may be a bit redundant.
Also, also, I mentioned it earlier, but yeah choices do not matter besides some minor dialogue variation. The only real effect they have is what choices you can select later, which also don't matter. Going kinetic is fine, but just don't give me choices, tell me they're super important, then actively ignore them by doing the opposite thing.
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But ok, I think the writing is awful, but how about the art? Can I hold ctrl and get to some steamy scenes at least? Well.. meh.. The renders are quite primitive in that mid-level Daz zone that makes everyone look like a plastic doll. The girls all have slightly tanned skin that makes their bright blonde hair and eyebrows look slightly neon and unnatural, every character's eye textures are incredibly bloodshot making them look like demons if they look to the side, and whenever characters cry or get angry their faces deform in the worst emotion morphs I've ever seen. The MC has a big breakdown halfway through the game and gets a makeover to become their beautiful bombshell self... which turns out to be a lesbian haircut and outfit that are actively uglier and less passing than what she started with. It's just... not the best assets and models all around.
As for the scenes themselves, the game has pretty much 3 proper sex scenes, all with the 2 good sisters because every other potential love interest gets sacrificed to the skitzo plot altar, and they are... serviceable I guess. You can get a fap out of them and they could probally work in a game that had dozens of them as at least quantity over quality, but it doesn't. They're nothing to write home about and definitely not enough to save the game.
In summary, I think there's two audiences this game could have been made for; trans people looking for a validating story that 'gets them', and more casual porn game fans who just want some steamy trap incest romance. I think it fails to offer a good experience to either. I have no idea what the 5 stars are seeing in it unless they didn't read past the first chapter or if this is literally the first fiction they've ever read, but aye, at least it's a story that resonates with someone, even if it's definitely not me.