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well, to start with, the name is actually offensive. As in, katawa is a word you can't actually say on tv or radio in Japan. While it loosely translates to imperfect girls, a more accurate translation is 'gimp chicks.'
Another thing is it is supposed to treat the girls and their respective issues with a lot of respect, and it, well, doesn't.
If they wanted to treat issues seriously, they could have started by not using the male character with what seems to be severe schizophrenia as comic relief.
for a game that wasn't supposed to sexualize the girls, you have a bonus option where you collect CGs of the sex scenes with the girls. Images that can be later used as fap material.
Each character path was done by a different writer, with the result that the main character is cold and uncaring in one path, and warm and friendly in another. It's as if the writers didn't consolidate how the main character is supposed to be-different paths create conflicting ideas of how the main character is.
I like the idea behind it though. A Visual Novel (KS is a Visual Novel, not a dating sim. instead of explaining the difference, KS is a Visual Novel, College Romance: Rise of the Little Brother is a Dating Sim.) that uses characters that would never see the light of day in a normal VN, such as the large-breasted girl with odd color hair. No, wait, they have one of those. But they don't have the shy girl who is insecure about something and hides from the protagonist as a result, but later warms up to them. No, wait, they have that too. The characters are basically the standard Visual Novel characters, but someone scribbled 'They're Disabled!' in the margins of the characters sheets.
Sorry if that turned a little ranty.