Naruto's relationship with the Hokage would also be altered. He might not have the same drive to be recognized by the Hokage in the same way. Instead, he would be more concerned with making Inoichi proud and living up to the Yamanaka clan's expectations. And his friendships within the Yamanaka clan, like with Ino, could be really deep. They might train together and develop new jutsu as a team, which is different from his relationships in the original story.
In terms of his relationship with the other villagers, there would be a shift. Since he's adopted by Inoichi, some might view him as more of a Yamanaka than an orphan from the Uzumaki clan. This could lead to different reactions from the villagers. Some might be more accepting because of the Yamanaka clan's reputation, while others might be jealous or suspicious of his new status within the clan.
His relationships would change a great deal. He'd probably form a father - son type of bond with the Raikage. With the other Cloud ninjas, he'd start as an outsider but gradually earn their respect through his skills and determination. His relationship with his friends in Konoha might become more complex as he now has a new allegiance to the Hidden Cloud.
His relationship with Sasuke would be different. Since Naruto would have a more stable upbringing, he might approach Sasuke with more understanding and less of the desperate need to bring him back. His friends in Konoha would also see him in a new light, as he is now under the care of two very respected shinobi. And his relationship with the village elders might be less strained, as Tsunade could act as a buffer.
His relationship with the Leaf Village would become more personal. He'd be part of the Sarutobi clan in a sense. His bond with Shikamaru and Choji would strengthen as they are Asuma's students. Naruto would also have a new father - figure relationship, which would change how he views authority.
His relationship with Sasuke might be different. With Kurenai's influence, Naruto could be more understanding and patient, which might help him better deal with Sasuke's issues. His bond with Sakura could also change as he may approach her in a more mature way, having learned from Kurenai about relationships.
His relationships with his friends in Konoha would become more complicated. They might be suspicious of Medusa and worry about Naruto being influenced by her. But at the same time, Naruto could try to convince them that Medusa is not all bad. With his enemies, they might be more afraid of him because of his connection to Medusa.
His relationship with Hinata would be completely different. Instead of a potential love interest, she'd be his sister. His relationship with Neji might also change. Neji might be less hostile towards Naruto as they'd be part of the same family. Naruto would also have a new relationship with Hiashi as his adoptive father, and he'd have to follow Hiashi's rules and guidance.
His relationship with Sasuke would be different. Without the influence of Kakashi in the same way, Naruto might approach Sasuke more aggressively in terms of rivalry. He could also be more confident in his own abilities, which might make Sasuke see him as a more worthy opponent earlier on. As for Sakura, Naruto might not be as smitten with her since Anko and Ibiki's influence could make him more focused on his training and less on romantic pursuits at first.
His relationship with his old friends in the village would become more complex. They might see him as someone who has moved into a different social class. For example, Sasuke might view him with suspicion or envy, thinking Naruto has abandoned their shared past as shinobi.
His relationships with his old friends would be different. Some of his friends might be distrustful at first. For example, Sasuke might see Naruto's new situation as a betrayal of their shared experiences. However, over time, if Naruto could prove that he was still the same person at heart, they might reconcile. With Orochimaru as his adopted father, Naruto would also form new relationships within Orochimaru's circle. He could meet some of Orochimaru's former subordinates who might now be on a more positive path, and they could become comrades or even friends.
His relationship with Sasuke would likely become more of a partnership. As Hokage, Naruto would need Sasuke's skills and knowledge to protect the village. They would probably have regular meetings to discuss security and other important matters.