Romance options include multiple bisexual/pansexual companions (Wenduag, Daeran, Arueshalae, Queen Galfrey open to any player gender) alongside straight-locked ones (Lann for females only, Camellia and Sosiel for males only). The story features a prominent lesbian couple, Anevia (post-op trans woman) and Irabeth Tirabade, whose relationship is normalized in the crusade setting, plus Sosiel's gay arc with potential canon partner endings. These are not background flavor but tied to companion quests and story branches.

Character creation follows traditional male/female selection with no body-type swaps, pronoun screens, or they/them normalization; class tooltips retain iconic gendered pronouns from the ruleset. No Sweet Baby Inc. or DEI consultancy involvement appears in developer records, and Owlcat's work stays faithful to the source without added activist framing or localization censorship. The core premise remains a mythic demon-slaying crusade with alignment and power choices driving the narrative, not identity politics.

Some launch backlash and community mods (e.g., Wokeless Wrath altering appearances and removing elements) highlight audience pushback, while Metacritic shows an 83 critic score against 7.7 user without extreme gaps. The representation influences subplots and player options but does not collapse or redefine the fantasy epic.