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Regardless of graphics quality, can I create the scenario and export to another graphics engine like UDK4?

(+1)

I am only guessing but it possibly depends on the assets PixelForest is using, Unity often forbids using assets in Unreal and vise versa, if it's something licensed for redistribution maybe or if for use by the purchaser for renders only but even then most things need to be baked into a game. I honestly think import is going to be the simpler option but it could be limited by size a Makehuman or Bastioni figure maybe but a DAZ character is unlikely to fit

As stated above, this is not a content creator tool but instead a relaxing game. It's probably better to spend your time in Blender than using this if you want to use it for game dev