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Maybe they could hire Blaustein again to make a more faithful translation? Who knows? Unless Konami wants to put in the extra effort, I would imagine that their best coarse of action would be to just add subtitles to the original Japanese dialog. They would probably have to re-dub the Japanese voice dialog with new voice actors as well. The text would have to be completely re-written for the PCE version. The recorded dialog also does not work as a substitute. I'm sure bits and pieces of the Sega CD english script could work. But, the Sega CD Snatcher script is really not compatible with the PC Engine script. The Saturn port actually restores some of the sexual content of the PCE version, while the PSX version has the Sega CD sexual content censorship. The PSX version is the most censored, while the Saturn port has less censorship. But it isn't really that drastically different. The Sega CD version is a bit of a mixed bag with censorship. In the Saturn and PSX versions, the animal is facing the other way, so you can't see the guts. In the Sega CD version, the animal is not breathing, but the guts are still hanging out. In the PCE version, the animal is still breathing, but has its guts hanging out. Then there is another scene where an animal gets brutally mutilated.
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The PS1 version pixilated and de-saturated the scene. the Saturn version moves the severed head below the body and have the scene scroll up, so you only see the head for a couple seconds. Where you can see the severed neck of this character, while the rest of them have the torso twisted around and facing to the back.