If the game is actually about morality, then I would expect something more than the MC retroactively feeling bummed about his actions. Perhaps one of his victims can become aware of his misdeeds and accuse him of rape? After all, intent matters very little in sexual assault.
I disagree to an extent. I think intent absolutely matters, at least in the context of the story I had in mind.
In any real-world scenario things are different, but since this isn't a real world scenario..... here i'll try to craft one.
A guy is walking down the street. He slips on a banana peel, but unlike in the cartoons, he beings to fall forward instead of backwards. as he's falling he attempts to catch his balance, resulting in a sort of front flip/roll combo, where he sort of tumbles forward a bit. As he's tumbling, his pants get caught on a sign in front of a coffee shop - due to the speed he's now built up, his pants are ripped clean off. Well now he's naked from the waist down... that sort of sucks, but at least he's finally managing to catch his balance..... That is until he looks up and sees the most beautiful woman he's ever seen. Damn, instant erection, this is embarrassing. Now he's hard, nude, in public. And since he hadn't fully gathered his balance yet, this distraction is the proverbial straw that broke the camels back. He flails forward into the air, at rather impressive speeds (remember he's been gathering it along this whole time), and flies right on top of her. To make matters worse, she was wearing a dress, and going commando today. Oops! Accidental penetration!
(Yes I just did a reverse "I fell, tripped, landed on his dick!").
Now, is that completely absurd above scenario sexual assault? I'd say no, it's an extremely unfortunate accident. It was something that happened with neither party wanting or even trying to approach that scenario - just a series of unfortunate events.
In the story I had originally written, the first few encounters that happen, are sort of the fantasy equivalent of the above. He has no knowledge or control over what's happening - just a passing thought suddenly becomes reality and he has no idea how or why. Later on he does figure it out, and to answer your question, yes at that point there absolutely are consequences beyond "aw shucks I sort of feel bad I effectively raped multiple people". Specifically (I don't mind spoiling this since it's a story I shelved and will likely never expand upon) each "use" of the artifact corrupts the users soul - the amount of corruption is in line with the "severity" of the use. Enough corruption kills and damns the user to hell. (I hadn't ever gotten to the point of working out the mechanics of it, but the plan was for the initial "accidental" uses to add enough that it'd only take a couple of intentional uses to kill). In addition, the whole bit of "altering" reality wasn't so much altering reality, as playing with the multiverse theory - every "alteration" wasn't changing things/people/etc in this universe, but rather pulling bits of other universes into our own - and when he "reverted" things, all the universes got put back together the way they should be.... except whatever happened, really happened... to those people. I hadn't gotten too deep into the specifics of it, but again the plan was for that to matter, and for those people who were violated, to do more than just be sad about it or whatever. The plan was for those to be real people, and for there to be real consequences.
That's also why the LI's I had created for that story were *NOT* treated as victims - because they weren't, not exactly. Their dopplegangers from parallel dimensions otoh, definitely were, and that was going to matter.
Ultimately I shelved the entire thing, primarily because I realized from a design and logistical standpoint it would have been so big in scope I couldn't really consider tackling it - and I already had other, (imo better) ideas for things large in scope. There were some issues with the story, but I could have ironed those out as I went along and iterated on it... I just never got that far.