I romanced a hunky British man with a shotgun for a head in a game that lets me have 'US government approved pronouns' like Jamestown, grits, and freedom
Developer Scope Creeps warns me as I boot up gun dating simulator Polyarmory: High Calibre Love that it is a team very much dedicated to the bit, and I didn't have to go any further than its options menu to figure that out.
For starters, there's a toggle for BDSM clowns—much appreciated for those of us more fearful of the circus—but there's also options for those oh-so-scary pronouns. You can turn them off, if you like, and Polyarmory will helpfully cross out anything that comes close to assigning you a gender.