Itch is not accepting paid games with content deemed NSFW for indexing. The games that are listed are errors, and once the staff notices these errors, they deindex them.
I know that a tag and a sensitive content check are two different things. Personally, I think there's a bug in Itch's code, but in the words of the administrator on Discord, those games are mislabeled; they should already have a tag indicating adult content.