- birth option can be obtained by starting a fresh save and getting to Belly Lv 2 (capacity 200) that worked for me
- that anvil thing can be avoided by not talking to the guy working near it, he triggers a quest that's broken, cannot be started and will cause the game to crash
- to fix the object loading, what worked for me was interacting with an NPC that loads a portrait when interacted with. some examples include Damia (temple only) Fairy queen, most NPC's at the upper floor of the mansion, ect.
- to get out of the pyramid, before going in, head back to the first temple and enter the debug room, here you can purchase an debug teleport item, that can get you out of the pyramid. but be careful, it can cause glitches.
- that last one i had as well, i fixed it by changing up the character's sprite. for me, birthing seeds worked.
it seems to be caused in neko village's Oasis