My inclination is that it may be worth the download, but it sure as hell isn't worth installing and registering third-party sourced dll files to get it to run on win10. The visualbasic6 DLL is one story- that one seems to be available in a microsoft-supplied pack. But the other one, mscomdlg.ocx or whatever, I couldn't find from an official source.
I found one somewhere (I don't even remember where, some troubleshooting site) and it's basically like clicking on the "See more by this actress" link on pornhub. The text-to-speech really doesn't add much, for me anyway, either, since it just relies on the built-in text to speech in your computer, which isn't a terribly sexy voice. I'll admit, I haven't tried voice control, (maybe that makes things more interesting?)
If someone could suggest a fairly full featured girl (the OP mentions different places to go and fun to be had with clothes on, but I haven't found any of that after looking through the available commands for maybe a dozen of the built-in girls) I'll give it a try, but so far I'm not really impressed.