No. As girls from this artist go (and from some early images) she in better shape than she could have been, and only has one mouth... There is a version of the game with some edited art, but I don't think they did it all.
Put the 4.0.6 patch (TF_fix.tpatch) in with the exe you start the game with, or manually do it as shown in the 3.0.22 post.
Edit - 4.0.6 is now in the opening post, and in case anyone has come here from the link there the patch is still a very early version. None of the performance and quality of life tweaks that built up with the previous ones. No full decensor, not all of the dialogue is translated or...
No mods have been converted over and no cut for time things added back in. Like other updates old saves can't be moved over, but 4.0 does have a new quick start feature. When starting a new game you can skip the intro, and if you want unlock things like clothes the memories...
For things it won't do some of the old cheats are in the 4.0.6 patch. Check that MEGA above for updates, but tfpatchguy said they didn't have much free time and it hasn't had one for a while.
---NEW STUFF NOT IN THE OPENING POSTS PRE-PATCHED DOWNLOAD---
LegionMP has now translated what looks like most of the buttons, get them here or on GDrive a bit below. As they say in the post extract...