It isn't really explained in the video, but I think it's meant in juvenile a sense of "Neil Druckmann fucked this game over". Like, if you receive the penis you're a loser in the exchange sort of deal.
I think there was a rumour during the leaks (coming from people who hated the leaks) that Neil had done the mocap for all the male characters in the game.
That's why they put his face in this picture.
I think there were also some people who harassed Laura Bailey about it on twitter saying that
the sex scene between Abby and Owen was mocaped in real time, so Laura and Neil has sex or some BS like that
Here's Laura's statement on twitter