Tried this game today via steam family share. A couple issues I have:
1. The way to change keyboard bindings is, to put it lightly, not good. I don't know what these controller buttons being referred to do, and I lack a controller to use in the first place, so keyboard's all I've got. On top of that, it looks like you can't even change which keyboard keys it uses, just which controls they map to, which isn't sufficient.
2. The game picks up keyboard inputs even when it's not the program being focused on. Even if it's minimized it's still reading keyboard inputs. I have ADHD and noticed this pretty quickly, and it's just not acceptable. I shouldn't have to explain why this is bad. This isn't something I'd accept from any program, let alone a random nsfw game I tried on a whim.