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Scars
I don't know if this is already added to the game, but the option to add scars to characters/subjects? Especially on trans masculine characters/subjects who have top surgery scars.
Customer support service by UserEcho
Considering the diversity already possible with the game's character editor, I don't see why not.
One thing I feel I should point out though. Can the scars have three dimensional depth? Can the cut into a character's flesh?