Oh and I guess there are a few (very few) SPH scenes but they only treat the PCs dick as useless for penetration mainly (there is one with female Lane where they will still ride your small dick). You still get to cum from getting sucked off/played with.
It's a shame how rare SPH content is in the game, but there's also reasonable explanation for it, given that...
enhancement... is readily available and actually works quickly and safely. Both Ramis and Lane even mention that, since the only way someone would have a small dick in that world-setting is if they
wanted to have one (and, possibly, wanted to get teased about it, which Ramis picks up on and is more than glad to play along with).
There's no "well, might as well find some enjoyment using the hand I've been dealt" kind of coping mechanism, since anyone who
didn't want the dick they were born with would be able to escape that situation by saving up some money.
As a result, most characters don't consider size at all, unless it poses a physical impediment (mostly if too large to fit an orifice; being locked out of scenes for being too small is thankfully rare because, let's face it, when the "denial" is just a scene not being accessible
at all, that's not fun).
A few characters have a bit of extra dialogue/non-generic descriptions if your dick is surprisingly small but the scene still proceeds normally in terms of penetration, satisfaction, etc.
The assumption is that since bodies are so freely changeable, most people you encounter are the
way they are comfortable being, so constantly calling them out on it would be odd.
But we all know the real reason. In terms of fetish representation, TiTS (and CoC/CoC2) have the breadth of the ocean... but the depth of a puddle outside of a few core fetishes.
The creators just don't want to deal with writing believable size-based (or exotic transformation-based) scene variants for every single character, and SPH scenes for those that might reasonably engage in the kink (which is admittedly understandable with how many characters and transformation permutations there are to cover).
The same applies to chastity/denial and similar fetishes; the player character can certainly be submissive or downright slutty, since those are pretty much vanilla. But to include a conditional variant for
every cock-based scene if the player is locked in chastity is just more work than they're willing to put in.
Hell, even Tales of Androgyny sometimes takes the easy way out: the "free cock" status check, so a caged/warlock-enspelled cock simply doesn't get to access those scenes (instead of creating a branching scene).
Some scenes
are getting variant art for caged/useless cocks, but it's a gradual process.