First off I want to say that the game is overall fantastic. I love getting the bad end art without having to save, experience it, and then start over, and the gallery is great. Lots of varied ways to lose, and you manage to push more of my buttons at various points than almost anything else I've played. There's also actual difficulty in combat (at least at times) without being punishing or "this strat only."
That said, it bothers me on some level I can't fully articulate that in a very lesbian heavy game, the only way to play the full vampire path is by submitting to a male.