No the game starts with it OFF to combat Patreon policy BS. You have to turn it on when you get a chance after the intro of the game. Dont worry no scenes require it before you are able to have control of your character.
You turn it on via the
pc cheat mod or the ingame hidden options. I posted their locations with pictures. Link at OP of this thread or
here for quick reference.
Note: The game doesnt have any option to turn it OFF (because it is mandatory). Once turned ON it remains on in your save.