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”Pizza Takeout Obscenity II” opens with Rika and China driving to their customer’s apartment to deliver his meal. Upon arrival, they hand him his delivery, then ask him to participate in a prize lottery via a virtual slot machine on the Pizza Rat app. The result of the spin will determine the direction of the game from here: “CCC” and “BBB” result in bad endings, where China will give the customer a footjob while Rika watches and instructs her, or the two delivery girls with give the customer a handjob, respectively. Once the customer climaxes, Rika and China will leave, imploring the customer to order again.

Rolling “AAA” results in a more extensive scene, where the player can choose between Rika and China as they engage in a variety of sexual activities, beginning with a blowjob from either or both girls, then a titjob from either girl, and finally sex in numerous positions, where the player can climax in a variety of ways on the girl of their choice. Afterwards, the delivery girls will depart, moving on to their next customer.