Someone made a mod removing the "diversity" from Fallout 4
(www.moddb.com)
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If nothing else it'll be a good test of ModDB. No doubt there'll be shrieking now that it's in a more publicly visible location.
The autist to tranny pipeline is real
I firmly believe that it's at least in part due to a cry for attention not being met, which is also why there's more trans "women" than there are trans "men", it's almost entirely mentally ill men that are desperate for attention and see women getting attention all the time, and to top it off most of them are porn addicted losers that ended up that way due to their isolation and depression.
To a certain extent, I feel sorry for their circumstances that lead to that. Doesn't change that most of them are horrifying and abusive people though.
I don't think there's one unifying cause, but it's certainly all interconnected and a pretty clear trend.