It is a lot of pissing about, but pretty simple. Current method:
Take an image you like to use
Run it through Imgupscaler
Run it though MagicEraser
Use prompts in Gemini to get the desired effect 
Then a lot of cleaning up in Photoshop 
Another failed bonus one here, the caption was gonna be Anna needs to work on her head game
Anna is trying to remember where she pushed out that double ended dildo before Charlotte visits the Studio tomorrow morning? 
Thanks for the kind words, hopefully it is over soon with the release of 1.8. But I committed and I stay strong 😩
Prepare for trouble, and make it dildo! To protect the world from devastation, to unite all cocks within one butthole....
OK I am done with animations after this, but this is a scene I really want after the first cock pic and in between groping. The MC goes past Anna's room and notices she is getting a good look at the picture...
I wanted to give Kate some attention, happy with the image, animation is a little meh...
I sure hope 1.8 comes out soon, I am sure there are more productive things I could be doing with my time... 😅
To be honest for a true pixel art style you are best putting in time and effort and using something like Procreate and tracing other a layer of your reference image. Though for a quick and less painless method you can use AI and Photoshop
Get your reference image from a screenshot in game
Remove the background using something like Magic Eraser
Run it through something like Gemini until you get close to effect you want
You will never get an AI Model like Gemini to get a true clean pixel style though, so this when tools like Photoshop come in
This is just a quick method though as mentioned results make vary. You are best doing it manually though to be honest with pixel art
