Actual trans person here to first leave this is a response to both TexanDedede and SomeDudeWithNoLife:

As much as I appreciate y'all being willing to stand up for people like me, I do feel this image is one that wasn't the best choice to accuse of being bigoted. I've said before the "type A and type B" stuff is a really shallow way of trying to seem inclusive (even in the English version of Dragon Quest 3 HD-2D you can see the shallowness with the options still using explicitly gendered words like "hero" and "heroine"), and IMO what should be done is give players multiple "body type" options, don't lock specific options or clothing choices behind a specific body type, and include a pronoun selection so cis, trans, and enby players all have an option to have their self insert be referred to how they wish. More options is always the best way to handle character creation. Saints Row had much this figured out more than a decade ago.

Here's my "too-hot-for-Twitter take": That "Body Type A/B" nonsense feels dehumanizing instead of being inclusive/progressive… as if we were talking about chronical diseases' categorizations instead of people.