I don’t often get a chance to talk about it, but Lover in the Ice is a fascinating, well regarded module that dives directly into the sort of sexual horror you’ve correctly pointed out as way off all but the most extreme table.

I’m certain, to my bones, that I could run a life changing version of Lover in the Ice. It will never happen. Even my few players who have given me the green light on that sort of content would I suspect tap out pretty fast, and I don’t blame them. I don’t think most people who just play realize how far TTRPGs can go.

I’m okay with never running that story. I get a lot reading modules like that for perspective; when GMs recoil at the thought of running that content it shows them how much more vulnerable they, and their players, are to that sort of horror relative to a shoggoth in the basement. That should prompt them toward creativity in looking for or writing other scenarios.

I do wonder what proportion of people who buy modules like that play them.