I am surprised by how much I, who does not enjoy MtF kink, love this game. Although MtF is such a heavy, unavoidable theme, its system of minigames is perfect for that cocktail of dub-con, reluctance, and corruption kinks that come from making risky choices with sexy consequences. Unlike many games which get railroaded down 2-4 "paths," X-Change Life uses a dynamic system of stats so that there are always in-game incentives for winning and always ways to restore any mistakes. Minigames change in difficulty depending on the character's skills and situation, and there are almost always benefits for partial successes. Rather than a "lose to see the porn" situation, it genuinely feels like I'm trying to win, but the difficulty and my overconfidence cause enough mistakes to reach the bad end scenes.
The character progression is good. Three main stats and several sexual skills can earn XP via a "learn by doing" approach. Money is another avenue for progression, and a few specific characters and settings keep track of reputation. The progression is slow enough to encourage taking risks to speed up the process, but not so slow that the grinding overshadows the content.
Not only does the in-universe character have several options for seeking or avoiding trouble, the player also gets to choose how to work through challenges: all minigames can be skipped with a simple die-roll. Playing the minigame rewards more xp, and gives the player more control over the outcome, while die-roll is fast, convenient, and only depends on the character's skill (not the player's).
Video clips are cut to perfect length (not too-short gifs) and curated to match the situation. They usually play in the background of the minigame to keep the gameplay sexy, but also leaves a moment to view without the time pressure. Most of the porn is straight porn. For players who wish to keep their character male 100% of the time, there is limited content. For those not interested in MtF kink, I recommend using the transformation tactically as a way to get ahead in stats and money, and role-play it like that.
I have not progressed much in the story, because I'm less interested in trying to understand the sci-fi explanations for a kink I'm not into. The main story can be grind-y; I recommended creating an informal schedule to divvy up time between character progression and advancing the story.
Updates thus far have been steady, and new content is strong while integrating nicely with older content.