A couple more comments – the second of which is largely me being silly –
You don’t actually have to use the Society option and nuke your Notability. You can use the Bohemian option for the same effect. I assume the Society option has a much more drastic effect.
Also, re: Scarlet Saint – that never made any sense whatsoever, albeit in the best sort of way. It’s almost certainly best that it’s impossible to achieve via normal means, but… I think it would be entertaining to add a really punishing option that allows for it to be achieved.
[And now for the being silly part]
Looking at the flavor (which is really neat, btw) of these options, I could imagine a "weird dual quirk" set of options being added that all consume your Notability when used and up two quirks at once, some of which are opposed. Possibly also stat damage.
Melancholy + Hedonist comes to mind, along the lines of the Hedonist art pieces already mentioned (or alternatively, a mass-scale Bohemian temporary group romance that ends in tears For The Art?).
Hedonist + Austere is obvious (a splinter Church sect’s extremely structured and ritualistic massive indulgence in food and drink and self-flagellation as well as ‘pleasures of the flesh’ for religious purposes; and the Voiceless Dancer and her ‘complicated desires’ sounds like she could be a Scarlet Saint already, though I can’t actually read that text, so I couldn’t say for sure!).
Heartless + Magnanimous (you can already practically run Orphanages this way; it’s also perfectly easy to do something mass-scale awful and beneficial at the same time if you’re rich and powerful enough in the political sense).
There are of course many more sensible dual quirk combinations, but those are less fun to try to invent examples for.