I think the game has a lot of unsettled plot lines that may have been forgotten in the wind, and people who seemed to have been one offs.
Luke supposedly helping the doctor that time at the party and she has been MIA I think since then.
The "Mother" AKA Rachel being a cam girl is fine, unlikely but whatever. Her getting implants at her age and debt seems ridiculous, if she had Michelle's money then sure.
The reason the previous guy got fired, remember Luke was just told he was "gay" or something like that, so everyone is still telling him lies.
The rest of the cast vanishing for long periods of time.
Michelle going from not having sex in a long time to a pegging monster, who is trying to sleep with anyone who moves in her vicinity.
More new girls added, so more will be left behind.
Luke seems to have a job, but he barely ever works.