Companions Octavia (half-elf) and Regongar (half-orc) form a bisexual couple that players of either gender can romance individually or together in a polyamorous throuple; DLC tiefling twins Kalikke and Kanerah, who share a body, offer similar bisexual/poly options for any player gender. Nyrissa provides an any-gender romance. Narrative designer Chris Avellone confirmed in 2017 that same-sex relationships were deliberately included as part of the franchise and to accommodate player roleplay.

Character creation remains traditional, with binary male/female selection, body types, and no pronoun customization or body-type swaps. No Sweet Baby Inc. involvement or developer DEI mandates appear in records. The core premise—kingdom-building in a contested fantasy frontier with tactical combat and companion quests—remains classic CRPG storytelling; identity elements function as optional subplots rather than the foundational driver.

Some player discussions note perceived overrepresentation of female or non-heteronormative characters, but Metacritic scores (critics 73, users 7.4) show no major ideology-driven gap. These romance mechanics elevate the score into the noticeable range without making ideology the premise.