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It will depend on the type, since there will be 3 forms of pregnancy. The evolution will likely be tied to the main story, as it unlocks a more powerful form of the girls. Then there is something like the PregX experiment, which will probably be for people who want to have sex with pregnant girls. I'm not sure about the 3rd, which I assume to be a more real pregnancy. It's still a ways off from being in game.

I think a option for a turn on-off if the girl is pregnant is a good idea! For the people who want the new forms but not like the pregnant girl!