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(+11)(-5)

I'd love to see more options for feminization/sissy kink or even full gender transition. Like a reaction to a male PC wearing more feminine clothing/makeup, the ability to change your gender marker when changing your name, or even the option for breast augmentation and/or gender reassignment surgery at the clinic 

(+6)(-4)

Specifically the last one especially, while I don't believe they should have top and bottom surgeries in a college clinic (lol), maybe adding a hospital in town for it would be great! We definitely need a "Egg Cracking" update in the future!!

(Also, if you have more suggestions, make sure to join the discord since there's a whole suggestion channel there :D)

(+6)

Transition, I believe is an eventual thing they want to work on. Feminization, no. The devs made clothing non-gendered on purpose, so there will never be any reaction to anyone wearing clothes meant for the other gender

I get that, but it doesn't need to necessarily be a reaction. It could be as simple as a style like goth or Glam. it could also be a content option like everything else, the player chooses wether they want to see it or not

(+1)

That still would require the team to go through and label every clothing item as male, female, or neutral. Something they did not do on purpose. I doubt they'll go back on that decision, which would make it impossible for this to happen