Played this when it was just up to chapter 6, playing it now, and it's still fucking phenomenal. Kudos to the dev(s), it's definitely in my top 5 AVNs and probably top 3!
The ONE thing that nags me as someone with many nonstandard piercings and plans with my piercer to get more, is Amy's eyebrow piercing. I genuinely cannot figure out how that is supposed to work, and I can't imagine that there's a reputable piercer that would do it for me if I asked for it. Almost 100% of eyebrow piercings are vertical bars or curved vertical bars, since a stud or dermal in the area would be nearly impossible to heal. Amy's stud/dermal is extremely unrealistic since it sits mostly right on the eyebrow follicle area, and areas with hair follicles have very high cell replication which makes healing complex piercings very complicated. I've seen plenty of inner brow piercings so the location isn't a problem, but no piercer I know would agree to a dermal in that area (which is what that piercing is without a doubt, given that it's a plain stud perpendicular to the plane of the skin) ESPECIALLY on the hardest part of the brow to pierce.
I genuinely think that it's on-brand for Amy to get an inner brow piercing even though it's more "extreme" than an outer brow, but a vertical or curved vertical bar would be FAAAAAAR more realistic for the specific spot her brow piercing is in. Brow dermals are practically non-existent due to the near-impossibility to heal a dermal along major follicle areas.
My advice is that simply adding a small stud shape above the brow and making it and the original piercing smaller would look enough like a regular eyebrow bar to pass for a realistic piercing. The location is on the "abnormal" side but very far from unrealistic, so with that slight adjustment it will make much more sense