I'm just starting this game at v4.03, but the incest patch is still v4.02. Wondering if I should wait until that gets updated, or apply the old patch and start anyway. Knowing it's outdated but still playable and by the time I reach 4.03 content, a new incest patch should be out.
The incest patch is now updated, post in the OP updated, here you also have it here
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It does change more than just having Marc call Myriam "Mom" instead of "Mi", otherwise e.g. one session with Dr Silver would make no sense, it would make no sense to say Anthony and Myriam are not married if Marc is both Myriam's and Anthony's blood son, some conversations will make no sense, a variable would not be used and others would not be updated etc., so there are more changes than just that.
But although the incest patch it is not written by Zorlun, the main line of the story is the one by Zorlun, or better, the path between the many possibilities Zorlun prepared, which the player guides Myriam to choose, by deciding how she reacts to the various events and interacts with the various characters.