If Itch.io hides sensitive content labelled games on default then that means many users may never realize games are being hidden from them, especially if sensitive content labelled games do not appear for users that aren't logged in either.
This means that pornographic games which do have the sensitive content label will receive significantly less plays than those that do not have it, which rewards developers who either ignore or do not know the sensitive content label exists.
So the question is, do most pornographic games have this label enabled and receiving less views because of it is normal; or do most pornographic games not have this label enabled and those that do are punished with receiving less views. Since, unless games are actively being reported for not having the label, enabling it would exclusively be a disadvantage and jeopardizes the success of the game.