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You want to be woman? Pick wife.
You want to be man? Pick husband.
However it might be highly unwise as it can break or screw up some quests down the road.
Least that was case in prior titles using same base engine.
Same for NPC's . Depending on the NPC it can break the game. Any NPC involved
in quests for example, one has to be careful.
How touchy is FO4 for personal sex change? I don't know. If you jack with it, keep
a save around in case your sex change goes all wrong and you end up with too many issues.
Yah. I worded it that way on purpose.
Sue me.
and the best you could get is a woman with a man's voice.