So I've just tested this video-game thanks to a copy found on Otomi Games. I really want to +1 this product of Circle One because I absolutely love the art style and Silent Pill was checking many boxes for me.
Sadly the combat system now ties into the lewd and even hinders it : the female protagonist is now constantly stuck with a NPC as a companion, and that's a hard-coded condition to trigger sexual intercourses.
Basically speaking, when the female protagonist loses health past the 80% threshold she gets immediately fondled by the enemy. But if you want her to be raped and impregnated, you need to make her lose the fight while keeping the companion alive otherwise it's an instantaneous Game Over.
I feel that's a severe downgrade compared to Silent Pill where the female protagonist would be fondled at 80% health and thoroughly molested then impregnated at 30%, alone or not. Because instead of paying attention purely to a single character, we have to take care of a needless "pawn".
By the way I've produced a MTL thanks to AdventCirno's MTool by relying on Sugoi but I've absolutely no idea if I can share that, and it seems that you still need AdventCirno's MTool to use said translation since it doesn't load up with the video-game alone since it's packed as a BIN file.