I'll keep this as spoiler-free as I can, but it really is a great game, I've cleared it. Anyway...
It all comes down to the Magypsies. They're aliens that look like drag queens...Mother games are weird.
You change the name, it's censorship.
You leave the name, Twitter explodes about an "anti-Romani slur."
You leave the sprites alone, it's anti-tranny stereotypes.
You change the sprites, it's LGBT erasure.
Nintendo's in a bind. So they just don't release it, because dealing with the "give us Mother 3" crowd is better than dealing with the SJW Twitter mob.
I mean nobody really gave a shit about trannies back when Mother 3 first came out, I’d be more worried about it actually getting a western release and having localizers really play up the tranny angle and inject it with more faggotry. You just know they’d make Kumatora a dyke and would probably make Lucas and Klaus gay lovers or something.
At this point we western Mother fans have probably dodged a bullet, the parade of shitty faggot hipster Indy rpgs Earthbound spawned is bad enough.