This game has a lot of things that I like, and a lot of things that I don't like.
The art is very good. It's very humorous. The story is very well written. Most of the characters are interesting.
However, first and foremost, there just aren't enough choices. It's way too kinetic (if I'm using that term correctly.) There needs to be a lot more choices and branching paths. But even if all choices led back to the same path, that would still be better than the paltry few choices that you have.
Also, I think there are too many layers to the plot. It makes it kind of fatty. Especially because, I think, it focuses too much on Rosyln and everyone trying to fuck her and not enough on Peter and his relationship with Serene and Sandra. I really wanted to see Serene and Sandra dominating Peter, but there was so little of it. Especially since Serene is the sexiest character. Making Rosyln instead of Serene the star is like starting the #4 pitcher in your rotation when your ace is in the bullpen. I also wanted to see that "nurse" who works for Dr. Fokker (forgot her name) beat and rape Shad more. Because he deserves it.
Anyway, I'll give it a solid C+. 6/10, maybe 6.5/10.