The romance mechanics make every companion—including Astarion, Shadowheart, Gale, Karlach, Lae'zel, Wyll, Halsin, and Minthara—available regardless of the player character's gender, with explicit same-sex scenes, polyamory paths (notably Halsin supporting open relationships), and approval-driven intimacy arcs that form a major gameplay pillar across multiple acts. These features, paired with developer emphasis on fluid identity expression, turn companion interactions into vehicles for gender-agnostic and queer content that override traditional fantasy role-playing boundaries. Character creation replaces binary gender with independent body types, voices, genitals, and pronouns including they/them, which are fully voiced in dialogue after actors re-recorded lines; non-binary identity is a selectable option that alters how NPCs address the player. This integration of they/them pronouns and non-binary options as fully supported mechanics prioritizes contemporary identity politics over coherent world-building, compromising immersion and entertainment value by design.