I take he was meant to say, "if your problems are boobs, either paint them yourself, or wait for bobba modders to 'westernize' her".
People who applies the trigger "Are you saying so because [I am/you don't like] <any kind of self-projected minority group>?", and then follows up with a biased speech of beliefs, propaganda and stories, are what makes an activist, well, an activist, basically. It can be a game creator or anything else. What qualifies to them is to have a command phrase planted on their hippocampus