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As much as I would like pregnancy to occur in - let's say - mid-AVN, I think it creates a significant challenge.
Players would want a choice (pregnant yes/no) and, from a dev standpoint, rendering two sets of Sarah in all imagery showing her from chest down means creating both a pregnant and a not pregnant rev of those images. Actually, it's highly doable, pregnancy. It comes down to time scale of the game itself. Let's say the whole story covers an arc of time that is 3 months or even a year. Maybe when I play the game again, I'll count days to get a general idea of time. But say 3 months before an ending comes up. First month foundation build, like what is happening now in the story; second month consequence of discissions made in the first, and third-month fallout happens. So, "Sarah" could get pregnant end of second month and wouldn't start to show till end of 3rd month... If the game is longer in scope, just move the timeline to that event.
I am hoping for something like epilogue moments where one/more ending options have a pregnant Sarah with Alex/man she chooses over Alex as part of - Sarah or Sarah/Alex are starting a new chapter in their lives. I wonder what is the "ending." So far when the characters commit an act points are earned. You get points like -1 to the relationship, corruption, sharing, etc. All that points to different kind of endings--and a content creating nightmare for the developer. I count just 3 male interest other than the husband, Eithan, James, and Neil--maybe more but they come to mind first. Sarah finding the thumb drive hints at that outcome for Sarah... Eithan swimming coach (not enough content there yet to guess a consequence) and the gym rat James--that is pretty easy to guess there. But... you have a wife sharing arrangement, open marriage arrangement, cheating situation based on the kind of points you can earn:
Alex+Intern+Abigale+someone I am missing
Sarah+Eithen+James+Neil
Just based on the above combos... is it an open marriage? Is it Cheating? Is it...? And there is the content creating nightmare the developer could be facing
We are a Long way from this particular decision point though (if the dev wants to include this as part of this AVN) and I have a great deal to be looking forward to before we reach this stage. The only weakness to the plot and story is the marriage itself. Married couples have long term goals, like when or if to start a family... or when they get old how they want to live... or building some sort of future. Already the marriage has checked off the boxes of owning a home and just living day to day.
What makes the story good is that Alex/Sarah are normal people with outside influences molding their characters. And most of the choices at this point are minor and innocent. Sure Alex/Sarah could notice how attractive other people are, its normal look but do not touch behavior. But each minor and seemingly innocent choice is corrupting. Take for example Eithan coming up to join the ladies at the house party... its innocent for Sarah to make room for him to sit... innocent to lean in to hear what he has to say (just now innocently she gets to notice him) ... And Alex could be clueless to notice or care about Sarah and Eithan's interaction