That really applies on both sides. This is such a nothing issue - it defaults to what you’d expect for a cis character, so you can literally ignore it if you aren’t going to play a character whose pronouns and body type do not align.
But, someone modding their game doesn’t effect anyone else playing it, whether that’s removing the pronoun selector in Starfield, adding a pronoun selector to Skyrim (even supporting multiple pronouns with different frequencies for each), turning every hold banner in Skyrim into a pride flag, removing pride flags from Spiderman, turning Skyrim dragons into Thomas the Tank Engine, or adding the ability to fuck Skyrim dragons. All of those are mods that exist, BTW.