DOL is the acronym for Decisions of Life - it's a sanitized version A Wife and Mother (incest content removed with a surgical machete) that the developer has to upload to Patreon to meet their content guidelines.
When you sign up as a Patron you get instant access to all the tier-appropriate stuff on his Patreon feed, including Decisions of Life - but in order to get A Wife and Mother updates you have to wait a day or two for the developer to send a Patreon message, asking you to email him, that takes the communication off Patreon so he can set you up with a login and link to the AWAM Game Website where the real game can be downloaded.
The problem for a lot of people right now is two-fold; L&P is having issues uploading the real version of the game to the AWAM website, also a bunch of thirsty people are rushing to his Patreon page to pledge so they can get the update- without realizing that account creation for the AWAM website is a completely manual process that L&P has to have time to go through and do, which he doesn't right now, because of the upload issues.