First off, this game is NOT a traditional H-Game in any way aside the fact that it is a topdown RPG. It throws most things you think you know about these types of games out the window and lights it on fire. I would even go as far and say this is not an H-Game at all, it fills a very disturbing niche but it does it in a excellent and unique way.
Stylistically it's clearly influenced by LISA: the painful (check it out on Steam) and is overall extremely dark and gloomy. It gives off Darkest Dungeon vibes, regarding overall game difficulty as well as atmosphere. More about H content later on.
The RPG system is insanely fleshed out and deep, with stats, debuffs, movement speed, stamina, food, character mood and much more. In that regard, I would give the game 5 out of 5 stars as there has been a lot of effort put into the fundamentals of the game. However, in a weird way that is also the game's biggest downfall. The complex RPG system and unforgiving difficulty together with the super sinister artstyle does not pair at all with the expectation you would have of an H-Game. At times you are literally just trying to survive, looking for food and shelter, hoping you dont get ambushed by a group of bandits, which more often than not ends in permadeath and the MC quite literally destroyed.
Like mentioned earlier, the artstyle is very sinister and so is the H-Content. If you get a kick out of someone getting kicked (heh) and beat to a pulp, then this game will definitely do the trick for you, no doubt. This is basically one step below full blown amputee murder H content to put it that way. (please mind that I only played about 4 hours so maybe I missed that lol)
Death, despair, corpses and torture would probably sum up the topics the best way.
tld;dr. This game is a really well made and absolutely unforgiving RPG with taboo themes, BUT it is not suitable for fapping whatsoever in my opinion, unless you got a few screws loose which is also perfectly fine I guess.