TBH with how much art is in this game, and with all the variations you can have, I was really worried it used AI images but (from what it seems, anyway) it's all original art made by like a dozen folks, it's actually really impressive!
The writing is great too, though there are moments you can kinda tell it's a work in progress, and some parts might do well with a second pass at some point, it's still very enjoyable to read and way better than I expected going in, it also manages to cover some of the less SFW aspects of transitioning, without coming across like a fetish project, which is very appreciated