Finished it!
Gotta say, I absolutely hate body horror and some of this stuff was a bit too much, but starting halfway through things became absolutely brilliant. Like, wow, the stuff you came up with was super impressive. Ladypot, anti-tank human ball, duckbill fellatio... there's too many things to list. You really put everything into this.
My only pet peeve is that respawning sets HP to 1. A lot of encounters restart immediately, so at endgame this becomes a softlock. I also think we should get the choice to Retry boss battles, if you can code that in, so there's less walking.