I'd rather just keep playing 4. I don't want to listen to people talk up random NPCs, especially if they keep doing sp regardless of how far you progress.

They ask for your pronouns in the character editor and the genders are called “voices” and are separate from picking the body.

Almost every new game is doing this now, even NASCAR.

I purchased it thinking there would be no way they could make NASCAR woke, but I was wrong. They removed gender selection and instead you just use a slider bar to make your driver a very feminine male or a very troonish looking male. Looks like a lot of games are following the lead behind Cyberpunk 2077 in "erasing gender" from the creation process.