Do you have a more accurate list of changes? Because playing through the entire game again and trying to pick up on the differences might be a little difficult, and time consuming.
In its current state, I probably can't recommend replaying the whole game just for the patch. I wanted to get it posted for anyone who might already want to replay the game.
As for changes, this first iteration was primarily about going through and manually changing dialogue in the script that was affected by the names.txt file. The goal was to make it read more naturally, which mostly involved adding some variation in the way the MC/Mom relationship was addressed by all characters. This involved hundreds of manual changes, but as an example instead of every character saying "Your Mom" when speaking about Valerie to the MC, a character like Mrs. Bancroft might say "your mother." As another example when Valerie is speaking about the MC to other characters, she will occasionally say "my son" instead of Bradley.
Original with only names.txt changed - Mrs Bancroft: "You're going to admit that in front of Valerie?"
With the patch - Mrs Bancroft: "You're going to admit that in front of the boy's mother?"
There are hundreds of small changes like this.
For the next version, I am working on several larger changes. My main goal is to make the development of the relationship between MC and his mom more believable. I.e. hesitant at first, addressing the taboo nature of it, etc. I am also fleshing out some minor plot points that were introduced but never developed, likely due to Patreon's rules. The two main ones being Andy having an incestuous relationship with his mom, and Amber being reminded of her own son by the MC.
I am a little worried that no one actually these changes besides me, but I'm having fun doing it so oh well.