This is strange because the game itself works on macOS Ventura, it is just the NSFW lewd sex scenes that are NOT being shown.
I have checked the downloaded files and the NSFW sex scene files are 100% there in the game files, but for some reason they do NOT get activated and displayed in the game.
I also wish to point out all the text for the dialogue is shown, it is just the NSFW lewd sex scenes that are not being shown.
I think this is due to a problem with game itself, another person whom uses Windows has posted that the y have the same issue.