Thankfully, your character’s gender is not tied to your choice of genitals. You can create a dude with a vagina or a lady with a penis, that’s no problem. But because of everything else about how the game handles trans identity, this hardly feels like the progressive step it should be. Rather than just letting you pick your pronouns independently of all your other character creation choices, your pronouns are assigned based on your selection of voice: Pick the “feminine” voice and your pronouns are she/her, and vice versa. (There are no nonbinary pronoun options.) As a trans woman with a voice that many would not describe as “feminine,” this direct linking of gender identity to having a voice that sounds “masculine” or “feminine” feels weirdly essentializing.