One of several variants of this doujin released last june, this one giving the female a darker skin tone, as wells as balls for the futa doctor. this is just a copy/paste of an earlier translation by someone else.

Original translation from here: /g/1651402/9fa48b68a8/
All credit for the translation goes to them

Support the author here: https://www.dlsite.com/maniax/work/=/product_id/RJ288258.html

why is the tan version the only english version?

Base +6, Gracken -7, atasitian -17, noahb3 -7, allahintahto +6, JustLikeThat -8, Darker7 -7, EnricoVIII +6, ryuukami123 +12, mikoofparadise +6, Letto Lettosa +6, Daymz0008 -7, Rylus08 -6, and 7 more...

why is her penis still discolored in the first image?

Base +8

hardest choice, some shitty tan version buy english, or the original but japanese

Base +7, Bacon91 +6, JustLikeThat -8, EnricoVIII +6, Gigas002 +6, Letto Lettosa +6, fluteko +6, George642 +9, charly4994 -7, Daymz0008 -7, HeavHo -13, Kurogal -9, MutantCarrot -7, and 4 more...

Isn't there a non-tan english version right here?
/g/1651402/9fa48b68a8/

Base +8, Sylvrwolflol +8, Gracken +7, drago78535 +6, noahb3 +7, Novanity +7, JustLikeThat +8, EnricoVIII +6, Gigas002 +6, Shimeru +6, Sitek +6, Soldier A +6, fluteko +6, and 11 more...

But some joker is going to make a "bleached" version anyway.

Base +7, noahb3 -7, deadarm -6, Bacon91 -6, Novanity +7, JustLikeThat -8, Darker7 -7, Ouroboros186 -6, Soldier A -6, CAxl7678 -6, Sitek -6, God Revan -14, Daymz0008 -7, and 7 more...

Looks more like a rare disease than being "tanned". Can spray tans look like this?

Base +6, Letto Lettosa +6, Soldier A +6, law240 -6, MutantCarrot -7, FlowerSlaughter +7, DarkShadow6 +6, No0bz -11

I love this <3

Base +6, PregnantWhoreFucker +6

Lol americans always end up getting japanese to do weird blackface comissions. Happens in english versions of games pretty often

Base +6, imouto pantsu +6, Elbowsmash -6, Whiterock -7, law240 -6, HeavHo -13, Kurogal -9, WombatPrime -6, minivan1 +6, somercet -12, Nefasturris -9, laaronadnxl -9, Magnat Cleo -20, and 2 more...