It has the "Type I" and "Type II" nonsense in place of male/female in the character creator, and also they made a lot of the female NPCs very tall and masculine. The only relatively hot female NPC is evil, and surprise-surprise, she's actually a "clone" of a man.

One of the main bounty hunting missions features fighting a deviant who brutally killed a man's "husband" (props to that deviant, by the way). So they made sure to throw in alphabet nonsense.

All that being said, what Lethn says about the game is correct. However, it's not an Unreal Engine-made game, it's built on its own engine, but it sure does seem to borrow a ton of stuff that feels like it was ripped right off the Unreal Asset Store, because the animations, janky melee, and combat all seem 1:1 from the Unreal Engine.

Conceptually the game is really cool with its Twilight Zone meets Lovecraft meets Secret World meets Silent HIll theme; and in the hands of a competent or visionary creative director (maybe someone like Hideo Kojima or Yoko Taro?) it could have been awesome, but it also reeks heavily of slapdash game design with an air of current year DEI infusion.