So far it's been fairly minor, there's some blood here and there pertaining to vampire feeding and injuries but it's still early in the story so we still need to get to the more intense parts. At least one head is of a woman yes
Honestly, I haven't yet decided If it will be avoidable or not but I'm thinking about maybe making the outcome be based on points. But that particular scene is still pretty far of in one of the later chapters and it will only happen on one specific path. She is innocent, you could say she will be a casualty of war if you will.
That is the current plan yes. Preferably both but we will see. I have already submitted the request to GOG but so far didn't get any response. From what I'm hearing, they only tend to take VN's that are already either more established with a big following or are near completion or complete. Steam recently changed their policies regarding early access games and adult games in particular to where they have to have all kinks already present and also be near completion and they now also restrict a lot what kind of VN's are allowed. Bottom line, probably not until the game is almost finished or finished so it could be a while. That said, I am in active talks with both platforms so it could be either approved sooner at some point or declined altogether. We will see.