Unorthodox Modern Goths appears to be mostly the type of meta-joke that's popular in gaming circles, combined with some (sometimes really hot, but consistently G-rated) photographic artwork of the subject matter subculture. So what actually matters is how much you chuckle while reading it, and that's four out of five stars for a couple of big laughs and multiple giggles.
I'm not sure anyone could use this except in a joke game (gaining the ability to swim better through body piercing?) and d20 Modern is way too rules-intensive for comedy. It does, however, call to mind some possibilities for interesting characters if it is treated as a catalog of character traits rather than a gaming supplement.
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