You are using the mod. The original game doesn't have the patch. If you see "Incest Patch" on the screen then it means the game is patched. Sanchomod probably has the patch baked in it.
The new content is in "I want Ella to come here" choice.I think I've played all the paths but I still don't see new content, could it be that the Incest Patch doesn't let me see it?