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(-6)

The amount of importance the game puts on the dialogue, whimpering and injuries is a very clear sign the developer is getting off to this.

(+2)

The main thing about the game is it's extremely detailed medical and injury aspects, it would be nowhere near as fun or challenging without it. I don't blame you if you don't like the whining, I believe you can turn it off in the settings (or at least you could in the previous game) and what dialogue are you talking about? The closest thing that I can think of is traders thanking you when you hug them which obviously isn't sexual.