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Question about the game mechanics. how does pregnancy work? My character was cummed many times but nothing happened

You need to use a fertility pill, which can be purchased in the New Ark City Nursery, once you have the next creampie you take will impregnate you

what can be done next?

As of current nothing can be done with the children, but Invidi has eluded to the capability to settle down in later updates!

To be very specific, there is only two ways to guarantee pregnancy. One is taking a pill beforehand, and the other is losing (or surrendering) to corrupted scientists. But the second method will not have any special flavor text or scenes related to it.

Otherwise, every creampie taken is a 10% chance to make a baby.

As for impregnating the various female NPCs, you must first take them on a date, and then convince them to take a fertility pill.