Most KOEI/TECMO games in that vein, Sam War, Nobunaga, Rot3K have this option as well.
After having an incel live in my basement for two years. He got pissed when I got married and my wife moved in. He decided to become a "girl". He started harpy screeching about us dead naming, and how we didn't understand, and I looked at him and stated "Unlike you my wife was born a woman, so I'm sure she understands what it is to be an actual woman, with actual cramps, and a real period".
He went off like 4th of July fireworks, and tried to go across the block, and not down the street in guest bathroom.
While he was in recovering, I had a conversation with his parents and we all agreed that he wasn't welcome anymore, and that they would have to move his stuff out.
These people are so desperate for any type of attention or validation, that they will do anything to get someone to give them even an iota of love or attention.
As I told the kid, you don't need to cut your junk off to fit in. If at the end of the day, you like taking it in the rear from another dude, go be happy. But don't expect me or other people to support self mutilation for attention, cuz that's a ship that don't sail.
For Gawd and Country! Let's go lads!
Yusuke is available in Nobunaga Ambition Taichi and later editions. Really shit stags, and you have to play on the fantasy version after you beat the game once.