Netsutai no Citron is definitely pretentious, but it also isn't that bad.
The underlying themes this manga establishes are very controversial, the concept of freedom being one of them. Compared to works like one piece and AOT, both series had more time to explain said theme and work with it along the story, though I do believe netsutai no citron does it better than One piece, the amount of contradictions this manga has is crazy. This manga does in fact happen in a dystopia-like setting, and it does a good job in showing the downsides of a dystopian society.
Another downside I experienced while reading this manga is its use of intercourse, the mangaka really does use it a lot throughout the story. Although I was ready to see a lot of it, a lot of the sex scenes brought up in this manga can be deemed unnecessary especially because some of the scenes have some relevance to the storyline. I am definitely not trying to say all the scenes were meaningless, because some did show the axiom of addiction to sex, one of the main characters problems, but it also undermines the value of intercourse and I definitely cringed while it did. While art doesn't bother me, if you're an art enthusiast you will dislike this manga.
Overall, it isn't a bad read, but you come out with more questions than answers, and in some cases it might be good, in this case, it is definitely not great.