I'm convinced the means to do such content locally is already available; if a dev will feel comfortable to create such a game is the real question. Not long ago we had two examples of devs who created games with loli content, those characters were obviously not real people, but one dev ended up in jail

, and the other had to abandon his highly successful games because of pixel police persecution.
The roots of most of mankind conflicts are our apparently unavoidable desire to establish how others should live their lives, to force everybody else to follow our ways of life, to force them to accept and enforce our opinions on everything. They are not really concerned about child safety, if that's was the case, videos, stories, games with fictitious underage characters would not be illegal, since no child was at risk during the making of such material; it is just their desire to force you to accept their points of view.
The fact that movies like Quentin Tarantino's "Hostel", were the most barbaric torture is portrayed, are legal, tells a lot about the Western countries real values. In my opinion such movies should not be illegal, since they are works of fiction, they are fantasy, and there should be no censorship for fantasy, and the same should apply to whatever work of fiction is produced, no matter what its content is, bestiality, underage sex, incestuous relationship, you name it. But I know it won't happen, we will continue trying to tell others how they should live their lives!
One funny fact, if the book "Lolita" was written today, Vladimir Nabokov, the author, would probably be arrested!

It looks like people living in the 1950s were more capable of seeing the difference between fiction and reality, since his book became one masterpiece of world literature.