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I've not played it yet, but the changelog says pregnancy is persistent? So you don't give birth, or it gives some side effects that will last after giving birth?

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Sorry, it's a bit missleading. It's the setting for turning it on that is supposed to be persistent. Funnily enough there was a new bug making the setting non persistent anyway. But no, pregnancy has a cycle where the belly/breasts grow until the cycle is complete. Will likely add birth in the future as well (optional, as most things in the game)