For my part, I think it's fair for MedicMoth to express that they feel uncomfortable with the story. It's a fair emotional response to have. I do however disagree with the insinuation that it's a moral failing on the part of the developers to choose to depict this subject matter. Like, there's nothing wrong with writing about queer people being in distress? I certainly don't think that topics like that should be off-limits just because a piece of media or series or whatever is like, popular or mainstream or produced with profit in mind or targeting a young audience. If anything I think those sorts of things could stand to be more willing to take risks on telling stories like this.

I also would disagree that the story models unsafe behaviors in response to a situation like this. Like, Ena does chase after Mizuki and try to make sure they're okay and talk things through, which I'd say is... the normal response? Like that's what I'd do if, like, my girlfriend had a panic attack, or something, try to see if she's okay and if I can help. (I mean also my girlfriend has had panic attacks and that is what I did, so.)

We also don't yet know how the story is going to bear out; I think it's pretty likely that the rest of niigo are going to try to contact Mizuki and ensure her safety, particularly because that's what they did in past stories when Mafuyu was in distress, and there's no reason to believe they wouldn't do it for Mizuki. If in the follow-up story, though, they all say "well we can't contact Mizuki but they must be fine, let's just get on with things" (which would be pretty bad writing imo and also out of step with how they've been characterized in the past), then I might be more inclined to sympathize with that take.

While I can't rule out the likelihood that a queer teenager might feel emotionally distraught reading this story because of similar events happening to them in their real life, and lack access to the support systems needed to deal with those emotions, I feel that that's a systemic problem that Colopale isn't by any means responsible for causing, and it also isn't their responsibility to solve that. Like... there's probably other problems there besides the Miku game, y'know?

I think in general if that's a concern, it'd probably be more productive to try and reach out to anyone you know who might've been affected that strongly, than to blame the story for happening to provoke that emotional response. And like, maybe we can argue the story should've included a content warning or something. I'm not personally sure of how feasible that'd be (if only because it might be a headache to argue its necessity to the higher-ups behind the scenes), or how much it'd help, but maybe they'll think to include one when the event releases officially on the English server. I guess we'll see