Lilith's Throne definitely has it's own set of issues. I like the game, and the problems that most of the community have with it don't bother me that much. Mainly just the dev setting unrealistic expectations for release dates for the updates, and then having to delay them to later anyways. Again, I'm patient so it doesn't bother me much, but a lot of people get really frustrated with that.
Also, one major difference between Lilith's Throne and CoC is the level of detail. Lilith's Throne allows for a LOT more customization/transformation both with your character and the NPCs, but it sacrifices detail to make it possible. Overall I would suggest anyone interested in games like CoC/TiTS to give it a try, just to see if they like it.