Because the game contains adult themes, it is primarily distributed through subscription-based services.
The keyword "Giantess" is crucial here. While previous updates allowed for any gender outcome, v0.3.7 is laser-focused on the female form. Male or non-binary player characters find themselves transformed irrevocably into towering feminine figures by the third treatment. Lucifer explains this in a now-infamous line of dialogue: "The feminine is the container for the infinite. A man who grows is a monster. A woman who grows is a horizon."