From Patreon: Yes:
"Fetishes that may be potentially controversial will be harem mode exclusive. If something goes south instead of pulling off the entire game we can immediately disable the contents in question to defuse the situation. " (
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but:
"You don't need to cooperate with other players in the Harem Mode to engage in any type of sex acts, including threesome, foursome or more. Basically you will be placing the pieces you have in a sandbox map and they will engage in sex if the location or surrounding props allow, and enjoy the sex scenes arranged by other players in the map." (
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