What I find most interesting about this whole exchange is how little patience Pat has for the entire premise. Back when Sony Interactive Entertainment moved their HQ to California, and started their Potter Stewart approach to acceptable content, they said that they were just making changes out of concern for the children. Pat was the only one on the old podcast to (correctly) posit the idea that Sony was full of shit, and that this was just a shift in the internal culture of the company.

Sony's excuse didn't even last a month; devs from smaller Japanese companies were posting about the hoops Sony had them jumping through within weeks. They get no contact with US localizers until the game gets reviewed, and even if a part of the game was accepted weeks ago, it can be rejected on a whim at a later review, with no justification, and no specific person to talk to. Plus, any calls about the game have to be made on PACIFIC STANDARD TIME, IN ENGLISH. And the Sony's US rep response was (to paraphrase): "we're aware of what outside developers are saying, but we hope that they would accept how the world has changed", or to be more blunt, how SIE went native.

And Pat called that shit!
So it seems like he's OK with localizers making changes to suit their own tastes, irrespective of the market the game's made for OR the market at large, as long as it makes the right people mad. Which is typical Pat, obviously - the guy gets his jollies from dunking on lots of groups, real or imagined, this is well-known. But unlike, say, Smash, where he'll just flat out say he's doing it because he thinks Smash players are smelly losers who are playing the game wrong, on this topic he keeps steering it towards the morality of the otaku degenerates - how they're inconsistent, how they only do it for titties, etc. It's a fair point to criticize, because it's a moral argument, but he argues as if the groups that localize these games are inherently good, and that their changes are inherently good, when he of all people knows that
a) companies lie, and
b) localizers make mistakes (from ruining a scene, to butchering code)

Normally, his contempt for a group doesn't cloud his objectivity on a subject, so I'm surprised to see how hard he leaned into it this time.