character creation in the
90s: you can play a specific guy or a girl and answer a Q&A that establishes your starting stats
00s: you can customize your character's appearance but have lost the personality test from a Gypsy, and sex no longer matters
10s: you can make your character really ugly. Your background matters less and less.
20s: you can choose your pronouns and your gender identity, but appearance customization is starting to atrophy
30s: you always start as the same guy with the same background and the same name but you can freely assign pronouns, gender, mental illnesses, preferred hentai tags, and much else that does not affect gameplay at all and is only acknowledged one or twice in the game or only in some UI