I played through the game once, here are my two cents.
In fine it's a die and retry game. This is fine however quitting the game and relaunching it is faster than waiting for it to allow the player to retry. This probably can't be fixed without making sex scenes desirable in gameplay.
What's the point of the porn? In essence, all the player does is avoid sex scenes in gameplay only for the game to impose them in cutscenes. You made it clear that sex scenes are bad... So the forced ones feel like you are breaking your own rules and punishing the player for progressing the story. Avoiding sex and death scenes should not be done by QTEs just make it a choices it's less annoying and gets you the same result: a win state and a lose state.
The delay at the start of every cutscene is aggravating.
The survival aspects are not working... I never ate anything and suffered no penalty, spleeping is pointless since drinking water restore stamina and crafting offers nothing of value in gameplay. I only used the crafting menu once to make the sandals and failed to notice any impact in gameplay by equipping them.
Stealth is useless... sprinting is a more effective at avoiding roamers. This is not surprising since RPGM and stealth don't mix.
In the later parts of the game you get: a labyrinth no z axis edition and a labyrinth that teleport you back at their begining. I bet a future update will feature a sewer level (please don't do that). The earlier level design was was much more enjoyable.
Where the game shines is in world building through dialogues. Kingdom of the Flies meet Cannibal Holocaust maybe sprinkled with elder god fuckery.