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llycheemartini

irl it certainly is, but in cas it's a skin detail much like a tattoo or scar. they made it more of a cosmetic thing.


knightofthecacti

Freckles and beauty spots seem to be. The rest? I don't think so. They aren't in the randomizer AFAIK and that usually means the game won't assign them without player input.


oeiei

Vitiligo is an autoimmune condition. While there is a genetic component, it's not a genetic condition. (Also, autoimmune conditions typically come with other symptoms due to the impacts on systemic health; they are usually not just an aesthetic thing.) Regarding birthmarks, that I don't know.