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We both need to sleep then. The mod loads the full image path (example:"C:\Users\User\AppData\Roaming\Strive\portraits\Female\Elf\Adult\SkinL BlondHair GreenEyes TitsB AssM.png") and from there it looks up for certain words. As long as there is a tag for Sex, Race and Age anywhere within the full path then its loaded as intended. It makes sense to have those as folders since its much easier to organize the images that way.

perhaps the mod is reading 'male' in fe'male' and signing female portraits to male hostiles?

Unlikely. Do you have the mod properly installed? Does it show up in your active mod's list? Also make sure you have the version 0.6 for the mod and 0.5.18c for the game.

Also about PM's it seems this system doesnt have that feature lol. We will have to talk through here or another thread. I want to discuss with you about the MGQ pack later after I return from some sleep.