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Do you get girls pregnant in games if given the option?

Depends on the character. If it makes sense story and character-wise, then... why not? But if it doesn't really fit with what is going on, then no.
 
keeps the game playable, but is heavily unrealistic
Why? If they're supposedly transferred to an orphanage after birth, that's entirely realistic.
Although I haven't had children in Labrats 2 yet. If there's still the opportunity to interact with them after birth, then yes, that's odd.
 
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