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'Illbleed' was janky but fun due to having a lot of unique mechanics not found elsewhere. A pity it's now abandonware after the team dissolved without selling the rights.
It's a solution if you don't want to face potential lock-outs from sales regions because you wanted a non-plot relevant feature that doesn't match any of the other enemies' design aesthetics.
For controls, you can use a controller - just plug it in before starting.
Regarding the ghoul enemy's genitals, I am keeping those. There is no story or lore reason, I just think they're neat.