This is an attempt at a collecting of homebrew rules that collectively provide mechanics for characters having sex and related events. Each section of this article should be a compartmentalized rule, DMs can use some, all or none of these rules without majorly changing balance. As a rough guide, when a female character engages in sexual intercourse, a simple DC 20 con check will determine if fertilization takes place. Circumstances which promote fertilization reduce the DC of the con check, circumstances which inhibit fertilization require a percentile die to be rolled before which determines if the con check is even rolled.
This might seem like another character-building suggestion buried in hundreds of others. For players who are queer, transgender or non-binary, however, these paragraphs are huge. That section was the bellwether for a larger trend of inclusion for the game. A newly released supplementary book, Mordenkainen's Tome of Foes, even gives players the chance to play gender-fluid elves who worship a hermaphroditic elf god named Corellon Larethian. They are the blessed, viewed as modeling their god. Being queer and gender-fluid is celebrated. This is a stark departure from where the game began.
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This is just as funny as I remembered. Race-specific chances of conception! Statistic modifiers to performance? The effects of extra-planar travel on pregnancy!