Now that I'm almost finished, gotta say, this one is bugged af - even with dinurs' efforts to make it less so.
Hell, I've been playing as a groping hand (really, character sprite on the map has actually turned into a groping hand - guess Freud would be proud lol) for the better part of the game. Items and mail order is still more-or-less bugged, the whole "H-Achievements" menu option is completely missing... Etc-etc...
So think of a bugged as fuck original game getting even more buggeder aser fuckeder because of some automated MTL... xD
It's quite alarming that apparently no bugfixes were made for this (at least according to DLsite).
Anyway, if the visuals suit you, try it out, by all means...