Yeap, if you know it's make huge impact on final score. In my hard mode run I wasn't care about sadism and finished with pure Karen on day 37 with around 70 lust score, but got happy ending. As result decided to check scripts, and found out each sadism adding +8 points to final score. When lust add just 0.4, so it's huge in comparing: 64 (8 sadism) vs. ~30 from lust.Sadism is normally not a big deal, if you know how to manage it. But going without Masturbation is much harder imo.