@hotmess.exe, would you feel the same way if, say, a writer highlighted difficulty of getting proper Hrt, but didn’t restrict PC access to hormones? Cause I can see it both ways:
The original situation I was reacting to there, iirc, was trans PCs being subject to having their hormones withheld as a torture method while cis PCs had torture that didn’t attack their gender identity. So to answer your question, it really depends on how it is executed and presented. I think something like this would need to start with the choice that a trans PC is even on HRT in the first place. And then I immediately have questions:
I don’t mean that all of these things (especially the ‘whys’) need to be explored in narration or in the game at all. In fact, I super do not mean that lol unless the game is like about being trans. I do think an author should know the answers to these questions while writing and outlining, though, especially if they’re writing from outside of the trans experience.
@hotmess.exe Yes, there would obviously be a choice to want to undergo HTR or don’t (and it’s contemporary setting w kinda supernatural undertones). Basically it’d be presented as a less of a ‘outwardly transphobic’ issue and more mental health stigma (“MC is disconnected from reality, so obviously can’t consent to HTR so we can’t put them on it, because what if they regret it later on” kinda viewpoint, which a lot of trans folk already face to a degree, just turned up to 11); so MC could result to getting hormones illegally…?
Oh, also edit: I mainly want to write it as catharsis (currently having the problem described above lmao); and I wanted to ask because I don’t want to think/write/speak for ‘The hive mind’/the trans community…
So what are cis MCs getting instead? Like what baggage would they have in place of anything regarding HRT?
In place of HTR? Nothing. I was more thinking that HTR for trans MC could be the extension of main theme/the stigma that follows MC regardless (Kinda like I, The Forgotten One deals w PTSD/Self harm in it’s themes regardless of Player choices
I’m not going to put words into hotmess’s mouth, but I think that doing that would be continuing the issue they brought up about trans MCs being targeted by the narrative because of their transness in ways that cis MCs are not. I’d argue that the example you gave is an example of outward transphobia, because there’s a historic precedent for denying trans people healthcare and access to HTR on the basis of mental illness–specifically, the transphobic belief that being trans is a mental illness. It’s still legally considered a mental illness in some countries, if I recall correctly. If you are trying to raise awareness for the struggle of trans people to get gender-affirming medical care while also dealing with mental illness, I don’t think the way you’re considering is the way to go about it while maintaining a trauma-informed, empathetic perspective.
Okay, yeah, I can see how it could be viewed as outwardly transphobic, bc historically people were denied treatment, but I have to deal w “crazy” comments and “clearly this person isn’t coherent enough to make informed choices for themselves” comments/stigma outside of being trans, so maybe you could excuse the confusion 
But, yes, if it’s transphobic then I’ll scrap the idea - I want to write a somewhat gritty/realistic world, but not trauma p*rn
Thank you for your input, by the way, @RedRoses 
Yeah, I was going to say something similar to @RedRoses.
I see the parallel you’re talking about, but there just doesn’t seem to be a reason to make that about being trans for trans MCs instead. A trans person dealing with mental illness can also experience this specific stigma you’re talking about here. I don’t see a reason to relate it to hormone therapy access if cis MCs aren’t also having their mental health stigma be about some access issue with a medication that helps them feel secure in their gender identity.