It is possible to beat the game in a complete run with hard mode. I've done it, you can too.
: Adds :
- immaculate run timer
- harder struggle
- adaptive difficulty
- struggle strength
- chain sex strength depletion
- 1 mag starting ammo
- lower ammo per mag
- easy knockdown
- increased ero gain
- trip chance from kicks
- increased kick damage (too much kicking with less ammo)
- removed knockdown during masturbation, monsters with grabs still function
- difficulty increases on each failure to escape during struggle
* increased automatic ero gain
* increased struggle difficulty
- the F key