54		Riana Rouge (Windows, 1997)
52		Paolo Eleuteri Serpieri's Druuna: Morbus Gravis (Windows, 2001)
45		Fuck Quest (DOS, 1998)
40		Fuck Quest 2: Romancing the Bone (DOS, 2004)
40		Fuck Quest (Windows, 2004)
40		Fuck Quest 2: Romancing the Bone (Windows, 2004)

Notes: Games similar to Kama Sutra: Manara, Games like Kama Sutra: Manara, Mondadori New Media, index+, Windows, Adventure, Adult, 3rd-person, Other, Female, Indian, PC, Game Similarities.