This game is very loosely inspired by another game called
Starless: Nymphomaniac’s Paradise. Whereas Starless is more extreme and the MC's degradation is more physical, this game is much more a psychological focused game. But there remain loose parallels. (If anyone is even vaguely tempted to play it, maybe check out the
Starless movie/video first. Fair warning though, the game is even more extreme than the video)
In Starless, one of the main characters is a futa. Her equivalent in this game would be Elizabeth, hence the discussion.
Also at least two
(I may have missed something) things point to
Elizabeth possibly being a futa too. Elizabeth definitely has a bush. The Mistress said that females under a certain age should be shaved. Combined they point to something going on there. Though personally, I think this game will stay somewhat "in the real world" by having Elizabeth turn out to be a guy with breasts. Personally, I hope it's neither and that Elizabeth is just a woman with a bush... but if the author is keeping some of the parallels of Starless... Elizabeth being genetically male and identifying as female would do that.