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Ways of designing intimacy in games - GameDeveloper
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Akchually in-vitro fecundation is a thing.
This just means that penetrative sex with a penis is not required. Doctors can either inseminate people directly, or implant fertilized embryos.
But the only effective way to harvest sperm is through ejaculation. I.e. masturbation. So you're really not avoiding sex altogether. You're just going about it differently.
Do you consider masterbation sex? because uhh it isn't
Solo sex. It's definitely sexual at least.