"You look good" - the doctor tells the trans woman when her estrogen levels are too low

"Maybe we should consider lowering your dose" - when her estrogen levels are where they should be

I wished PP was better about this stuff

This is backed by my blood tests consistently having <200 pg/ml

How's this: the setting will be an alternate early america where the world is inhabited by some monsters. They are only kept away by sexual energy. This has made religion's based around sex being a holy act. This has many implications about how civilization would rise

Keeping the western theme and trail is a must. I also might borrow from the 5th edition game and use photos as game art (I am not good at people, I am a landscape artist).

I also really liked a lot of the bells and whistles, but that is because I only played the 5th edition.

Now how to give this a good coat of kink and sex 🤔

The core gameplay loop is resource management, keeping people alive while they head west. The secondary loop is choices of paths and spending resources/trading. There is RNG of random events which can either punish or help you.

In order to make the game possible, there is hunting and gathering