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Random_Matt said:

Would gamer's play a game with an acne infested character? Or maybe a 20 stone obese character? I thought not, thanks for playing.

I like how GTA SA and GTA6 will do it, you start off in GTA6 pretty idealised but solid rumor has it that like GTA SA you will get fat, anorexic and loose out on stats over the course of the game if you don't stay healthy. This solves all camps arguments apart from the one where making sexy characters takes recourses away from the game.