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for the current  version of the game, it is possible to be a male with female  bits, and a mix, as well as other options that allow male characters to operate similarly  to the female characters (mpreg). You can set that up when creating your character, and there are in-game items that you can use to alter your body in these ways as well.

They can't fight with you, but you can use them to block melee enemies if you use the terrain carefully. such as in 1 or 2 cell wide spaces.