Tried it and kind of liked it.
The "suspicion" score was interesting .... until you manage to bring it to zero, I hope it will be a better challenge in the future versions.
I didn't noticed the "incest" patch before writing that message, I'm not sure I will try it in the future.
Well its optional, so you can have a healthy relationship with your landlady and roommate, or anything (actually you can change landlady and roommate to anything really, like "childhood friend" or synonyms of landlady and roommate that you find more fitting)
Yeah, the suspicion mechanic will keep being used through the game, at first is punishing, then you have it easier, then later in the story gets punishing again.
In short, the idea is that when a new threat appears, you have to take it as soon as you can, otherwise suspicion can get high and you can lose, but once that threat is neutralized then you can have more breathing room to have fun on your own.