Why do they say "queer" so much when they mean "same-sex couples" or "gender nonconformity", both of which are far less offensive and far more descriptive terms. The word "queer" is like nails down a damn chalkboard, and I'm saying that as someone who likes the occasional cock. Auueuggh it's horrible. Seems to mainly be relegated to America, at least, people here still know that they'll get their teeth knocked out if they call you a "queer" to your face.
Anyway all the ostensible representation of gender nonconformity is sabotaged by the preset faces. You can't make a proper twink man or a proper butch woman, at best you can make a fugly crossdresser who looks like Robert Smith's roided-up body double or a "butch" who looks more like Sinead O'Connor drawn from memory by someone with advanced dementia, who also can't draw for shit. No offence to the actors who provided the preset faces, but they're the worst-looking people who have ever existed on planet Earth, the men far moreso than the women (sorry, I mean the Body Type As far moreso than the Body Type Bs).
If you try to make a twink man of your own, you'll look like a wrestler in drag, especially next to Astarion. The only solution would be to give Astarion a stake through the heart ASAP and then wear a full-face helmet for the rest of the game. Could represent a great roleplaying challenge, especially if you get arrested and your equipment is confiscated, so your mannish-ass face is on full display. Gives more of an incentive than ever to get your gear back before anyone sees.