You should care because it means CDPR can have a larger reach and sell more copies of the game. Their success will impact the games they put out in the future.
And for some it isn't. This is why CDPR won't make everyone happy. There are probably many systems that would be useless in the game if every gun worked exactly like it should in real life.
Yeah, I imagine Cyberpunk 2077 is a game you might want to avoid if nudity is an issue. We will have to see exactly what options the game gives the player, but it is safe to say there will be a fair share of nudity.