And personally, I am not asking anyone else to play a sexless game, I would just prefer to opt out, with a setting, with a line of dialogue, I don't really care. It isn't the presence of these things which offends me, it simply doesn't interest me, though as a dude with a teenage daughter I have to admit I am a little bothered by the way relationships are handled in games.. There is a lot of fulfillment to be found in another person, sex is sort of the least of what relationships have to offer but I don't expect teenagers to get that and this isn't a dating sim anyway so these are all things I wouldn't normally bring up these forums.
I hope you don't let her play this game if she did not come of age

Sex in the game is the last thing that can hurt the psyche. The scene at the very beginning of the game, when we need to split a man's skull to pull the Us out, or when a tadpole crawls into Laezel's brain .. and you are talking about sex, ehh