Its a really weird game to rate. On one hand, its a REALLY well made game with insane strategy and planning required, but on the other is an extremely unforgiving game that offers no wiggle room for the player to freely explore and do what they want.
Pros:
-MASSIVE map, and that's in the best way possible. Quests tell you where to go, but you can explore regions at your own pace if you want. It allows the player to feel this sense of freedom and control.
-FMC is adorable. You can't help but love her, feel horrible for anything bad that happens to her, and are constantly rooting for her.
-The world FEELS dark and dystopian. Almost everyone is your enemy, and the few allies you have will either betray you for the miniscule reason, or can be killed permanently from quests. You are constantly struggling to survive, and have are occasionally forced to make sacrifices for your own survival. Everything adds together to create an atmosphere that's genuinely impressive.
-MULTIPLE ways to approach a playthrough. You can prostitute yourself for coin and defeat foes by collecting their semen, you can be depressed and try to stay small to avoid trouble, or you can have a strong personality and try to physically deal with anyone that gets in your way. Granted, some routes are MUCH easier than others, but it's still nice that you can craft Lona's personality to whatever you desire
-Every single clothing item can be equipped/unequipped. It's nuts.
-There's no "timeline", so play at your own pace.
-This is one of the rare games where you can interact with every NPC, be it prostituting from them, stealing from them, or straight up fighting them. It's great.
Cons:
-The game is HARD. I'm not talking "you need to grind 20 minutes of mobs before fighting a boss", I'm talking "You can die in the TUTORIAL" levels of hard. Nearly every quest requires a guide to follow because "unoptimally" doing each quest results in either your death, a massive debuff, or a character permanently dying.
-As mentioned earlier, there is 0 room to relax in. While some players enjoy that, it also makes it not as enjoyable for the majority of players. Didn't eat food? You die. Don't have coin to buy food? Prostitute yourself or work a job. The job you worked takes up more energy than you would receive by buying the food with the money you obtained from the job? Shouldn't have done that job, stupid. So you either have to stumble through this game by trial-and-error, or you can look up a guide to squeeze on by day to day.
-When you die, you lose everything. EVERYTHING tries to kill you, and EVERYTHING is extremely efficient in killing you.
-While you are able to move to whereever you wish, moving around requires stamina...and as you'll come to realize is stamina is an extremely valuable resource. So valuable to the point that it isn't worth exploring, kinda rendering the "sandbox" aspect useless.
-For all this effort, the porn... is pretty much non-existent. Yes, there is nudity. Yes, there is rape. Yes, there is prostitution. However, after a while even these scenes turn to nothing more than worries. "I hope this doesn't take up too much stamina", "Oh crap, did I mess up? Is she gonna die now?" "I can't afford to do a stripshow, I don't have enough stamina", "I shouldn't masturbate: I don't have enough food on me", and so on. It makes the game feel more like a fleshed-out RPG as opposed to a porn game, for better or worse. Whether or not you consider this a plus is up to you, but when you see a busty tomboy freckled redhead's shirt ripped open causing her boobs spill out and your first thought is "Oh crap is she gonna die? Do I need to reload a save?" instead of "YO THATS HOT", that's a problem.
In short, this is a game with a tremendous amount of work and effort put behind it. However, it's also extremely frustratingly difficult to the point that those who do choose to enjoy the game won't follow the game for it's porn content, and those who came to this game for it's porn content will leave immediately due to it's difficulty. If I were rating this as a flat out normal game, it would be 5/5 hands down due to the worldbuilding, writing, atmosphere, strategy, difficulty, and so on. However, as a PORN game? It should be a 2, but gets bumped up to a 3.5 due to it's quality alone.