Placeholders eventually get replaced. Many of the placeholders in the game have been there for over 2 years. And people aren't very forgiving of that, as evident by The Day Before, which was using lots of placeholders. Almost all the reviews of that game mentioned the placeholders as a problem.
The issue with this project is that bugs that have been present for months to years aren't getting fixed. Like the sex sliders in the Options menu for pregnancy and that haven't worked since like Alpha 7? So if the intent is to fix them, why haven't they been fixed, and if the intent is for them to not be fixed, why haven't they been removed like the placeholder "get nude button" did a few releases ago?
Lots of people have complained about the aimbot, almost godlike ability of bots to thread a needle from 500 meters away, but you can't hit the broadside of a barn 10 meters away, with your own shots. Corporates are nearly invulnerable, even with a full composite rifle and the best bullets in the game, it often takes a full mag dump to the head to kill one. While they take you out in a single hit with full corporate armor at max durability.
Sex scenes have been on the backburner for years. Yes you get a new one maybe once every 3 releases, which even for most porn game standards is bad (as that is waiting 9+ months for a new scene). But all the old scenes have bugs in them that haven't been fixed, regardless of the amount of times people have reported them.
I could go on, but I think you get the point. The developer is more interested in adding in poorly conceived or rushed mechanics, than to fix/flesh out the existing stuff. That would be fine normally, with other games, if you would get a build, and then 30+ hotfixes, over the next couple of weeks, to address all the issues. But instead of doing that, a build is released, often in an unstable fashion and the bugs might get fixed by the next release, or they may stay in the game for months to years. With a different release schedule this kind of development would be fine, but when its 3 months between builds, it can be insufferable, especially to the people actually paying them money.