As promised, longer review:
I must caveat this by saying I played this on very easy difficulty because I'm bad at games. I'm not playing the mod to tear my hair out trying to clear stage 1, I'm looking for a mod where clearing is not a concern but clearing while getting creampies and/or facials at least once per checkpoint is pretty much expected.
Overall this is an interesting mod that greatly increases the difficulty and somewhat increases the sexuality, while I'd prefer it to greatly increase the sexuality and only somewhat increase the difficulty.
Generally the average array of baddies is trivial compared to the average boss. Particularly on very easy, one-shotting baddies (esp. with a range advantage) is often unavoidable when statted to win boss fights. In addition I'm too bad at the game (see preface) to clear Candore without giving myself 1 billion temporary XP, so I'd like that fight in particular to be way easier. And like generally increasing the health of the lowest-health baddies each tier would make the challenge and smut more evenly distributed.
The chance grab when in physical proximity is really cool except for Candore who really, really likes to dash through the player. I'd like more reasons to take risky actions in normal gameplay. For example, for most weapons revenge damage is about 2 normal attacks, which at that point why risk it? I'd 3x revenge damage (or something like that) to motivate interaction. Done right it looks cool and done wrong it usually results in getting raped so more revenge sounds great to me.
I really like the idea that there's a high chance of quickly escaping that diminishes to zero the more attempts are made. I'd like it to be more extreme, as in not going to reset for the duration of the scene, but with a similar chance of getting out. So if there's no escape in the first burst of escaping, may as well surrender. Detect the cum received/swallowed and resetting the escape would be preferable (though there's some enemies like Cursed Skeleton that don't deposit cum so some other trigger mechanism may be needed). The interaction with intoxicated needs to be worked out so escape works after intoxicated effect resets (trying to escape while intoxicated could waste an escape attempt).
I think the modifications to the lust/impregnation/pregnancy timers are harmful because it's done in a way that makes it less interactable (lust by walking it off and impregnation/pregnancy by visiting a shrine).
Overall the mod is cool and gets credit for being difficult and provocative though I wouldn't necessarily recommend it to someone who could beat the vanilla game on the hardest difficulty but needed to use a potion ever.