Honestly this sequel was way better than Boku to Nurse no Kenshuu Nisshi The Animation. I mean the first one was good but this was better. it was cuter and more wholesome than the first one and Takuya didn't have to be injured. Also they both had kids in the end unlike the first one where they're only married. I love the callback to the first one where Mio's skirt gets lifted by a little boy but this time it's Ryou and Takuya's son. Getting Ryou pregnant to stop the arranged marriage is a chad move from Takuya. It's cute how in the end Takuya callsRyou by her name while Ryou calls him Takuya since they're now married. Their first kiss was also kinda cute.
I love the design of Ryou, a black haired girl with blue tips with a small mole on her boobs. I love the design and the different colors of her panties which look hot, from plain white to light purple to dark purple. I also love Ryou's secretly perverted teasing personality with the stethoscope foreplay and fondling Mio freely.