This is the second in a trilogy of games, I've reviewed each of them, and a fair bit of my review will be copied from the other two reviews given the games share similar art, story elements, and gameplay.
TLDR:
This is probably the game most worth playing in the series, it's definitely the least needlessly frustrating, to the point that its impossible to fail or face any negative consequences at all that I could find. But then the story is pointless, none of the characters actions or motivations make any fucking sense, and there is no character progression, so we're back to find the cgs and skip the game. This one you could probably turn skip unseen text on and quickly grind to the sex scenes, but meh....
Review:
First, lets talk about the art. Nikraria's art is obviously an acquired taste. I, for the most part, really like it. I find the stylization pretty sensuous and erotic. But. This game, this series, and Nikraria's work in general has the issue that all of the characters look pretty similar. Almost all of them have unrealistically large breasts, even on characters that dont really have them in their original media. If this were occasional, or even on half the characters lets say, it would be fine. But it is every singe character. The other commonality is almost all of Nikraria's characters are redheads with bobcuts. He loves Leliana from Dragon Age (who is one of my favorite characters) for instance, and this game series features the protagonist, her mother, and her aunt as the three main sexual characters. All of them look almost identical.
The other issue with the series' art is that all the sexual situations are very samey, its either vanilla or tentacles. Thats really it. This game doesnt even have the tentacles, jut the vanilla stuff with a ever so slightly rapey vibe to it.
So basically I like the art style, and think it can do a lot to improve characterization, but its really kinda boring after a while. Which leads us to the writing and story.
The whole series is lovecraftian horror-y stuff. It's a decent setting for a porn game, and for a while it's effective, but the series just repeats the same story beats over and over and over again until it's just dull as hell. Most lovecraftian stuff has elements of growing madness, of an unreliable narrator, of questioning reality. the madness is never expounded upon meaningfully. It just shes spooked and horny, and then in sex scenes shes spooked and horny, and in game over sex scenes shes spooked and horny and then loses herself to being spooked or horny. It's the same every fucking time.
The narrator is hinted at being unreliable briefly in this game, but that gets blown away like 10 minutes into the game and never really comes back. Reality itself is never really questioned. Everyone sees the same stuff and perceives it in the same way, its just how batshit nuts they go that changes.
This game also has a lot of other issues not present in the rest of the series, the doctor character tries to exploit her sexually. He just starts doing it. Theres no build up. No reason for it. He just does it because thats the kind of game its meant to be. It's like it was expected so the author just forgot to put it in the plot at all.
Then we have the bit where he uncovers that weird cult shit is happening. But that just stops and never comes back. He doesnt even talk to the patient about it. It just vanishes from the plot.
The eloise character likes sex, and you can make her do sexy stuff with people. The dr gains nothing by essentially pimping her out. He just does it. She puts up arbitrary resistance in the menus until she has high enough stats, but seems suddenly fine with everything in all of the events with no explanation.
And then after training her to be a sex slave for no reason he just sends her off to an island somewhere at the end for no reason, and even if you say you believe her because thats the better ending, the next game only starts with the bad end anyway so fuck you player for doing extra work.
I should also mention that the English is understandable, but has frequent spelling, grammar, and word choice mistakes.
Much of this game just has a black background. Its so fucking lazy and immersion breaking.
All in all. It had potential, but the story and gameplay are pointless time wasters to get you to seemingly unrelated sex scenes with a noncharacter.