during character creation you select skill points, traits, a name, body type, gender etc. And a pronoun. Its literally just a menu choice in character creation.
The only impact to the game is being referred to by your chosen pronoun.
Its the most ridiculous thing to be seething over like OP is here
Unfortunately I don’t think itll make a difference to whether people buy the games or not. Itll tank performance but itll be in games that people buy regardless of performance. IE Pokemon at launch was in an awful state and still sold like hotcakes