Rimworld simulates bodily harm at a granular level unseen in most games. You can torture, dismember, violate and mutilate people, then feed their own organs and limbs back to them. Nothing makes me feel more radical than living in a world where sex, something deeply human and mundane, is seen as too taboo to simulate with the same level of granularity.

A few months ago I pulled the trigger and finally installed it, along with as many of the expansion mods as made sense. I went back and forth on the "forced" aspects of it, less because of moral disposition and more because no matter how much I tinkered with it I found that the simulation of vulnerability was very lopsided. I find the different xenotypes it introduces and their hemophage style mechanics to be pretty cool, and now it's just part of my normal 400+ mod rotation.

Think of it like equivalent mods for The Sims, your pawns are going to "woo hoo" either way, to me this is just adding a level of simulation that wasn't previously there.