I want to put right at the top of my review that this game effectively encourages wildly unethical behavior as it pertains to mental health patients. You will be forced in several instances, and have the option in many more, to take part in sexual congress with people who are in this location under the auspices of receiving therapy. As a psych student and mentee to the residing therapist, you even perform some sessions, and then ♥♥♥♥ the patients. It's problematic in the extreme in that context.

With that out of the way, how is it as an AVN?
-models are pretty good, and distinct
-the "free roam" is implemented fairly well
-the dialogue isn't bad

-the voiceover is mostly grating, except Violet - that actress nailed it. the "kissing" sound effect sounds like someone rolling their tongue around their mouth trying to dislodge food
-the x-ray, like it does in Lust Theory, starts interesting with various sexy clothing, and then devolves into just "they're naked"
-the various achievement and mission rewards aren't clear and I gave up
-the collectathon of panties is simply too big in scope
-the PAID walkthrough is still mostly clues instead of a flowchart
-there is no way to get an ending with Jane by being celibate all summer, so don't bother (I tried)
-not enough actual endings with the LIs
-what the ♥♥♥♥ actually happened with Stacy?