I make no social commentary with my choice of female character looks.
... But you know, people have expectations. Maud is the least conventionally attractive character in the Rastedel plot, but she still gets a slight uplift in her sex scene.
Just to clarify, I'm am not accusing any devs of consciously making any particular social commentary. Rather I am only attempting to discern the aspects of society that lead to certain creative choices. Society effects the creative choices made in any media regardless of whether the choices are made consciously or not. Using the earlier case of sexual dysmorphia among fantasy races, while an individual may dislike it, as a society we are here for it. There is a market out there for sexy female orcs in a way that just isn't there for sexy male orcs. Therefore, this aspect will play a role in how creators choose to depict orcs.
In a way, every creative choice is a sort of social commentary either in support or defiance of various social constructs. However, while some of that commentary may be made consciously, the vast majority of it is unconscious. When an artist chooses to make a orc girl hot, they likely aren't thinking
by making her hot I will support the societal belief that all women should be attractive. If they are putting any thought into it at all it is more likely they are just thinking,
I'll make her hot because the audience likes sexy girls. I would even argue that the unconscious choices end up saying more about the society than the conscious choices because the unconscious choices are more likely to be so ingrained in the the society that it is taken as a given, where as the conscious choices are more likely to reflect the individuals thoughts.