Twigs is nonbinary, so the use of they/them to refer to them is intentional. Also, the reveal that Twigs is a real character and not a self-insert necessitates ambigious language regarding what their gender is and, more relevant to your question, what sex they were assigned at birth. I'm genuinely not sure either; I don't think a single sex scene in the game references their sexually dimorphic characteristics despite us knowing that Timber, for example, has a penis. I feel like I read somewhere that Twigs is transmasc, but I could be wrong? And that still doesn't really provide an answer 😭 so I hope any smut written for Twimber isn't too far off from what Nami intended for her character.
Edit: Apparently, Twigs is canonically agender, which, while under the nonbinary umbrella, is not synonymous