The content is extreme, but that's not a problem because the game is advertised as extreme content so no one should be surprised.
What took me by surprise was how deliberately unfun it all was. It's grindiness isn't the grindiness of making progress, it's just grind to get to the next exact same grind. About 1/3 of the graphics are at least somewhat sexy, and 2/3 just disturbingly uncanny. Poses are bizarre, details change from scene to scene, and at least half of the scenes look unrelated to what's supposed to be happening. Lara, for instance, is shoving a cucumber up her snatch while claiming that she has not found any vegetables. 
Not recommended, even for those with these fetishes.