There are several existing settings that Dungeons & Dragons players can use for their campaign, but the most popular one by far is Faerun, also known as the Forgotten Realms. The creator of the Forgotten Realms had a far different vision for the setting than what made it into print, as he had intended for there to be a lot more sexual content and openness about different kinds of sexuality in the world he made.

Dungeons & Dragons rarely deals with adult content, which stems from the fact that it's intended to be enjoyed by people of all ages. There was also that whole Satanism accusation thing back in the day, which prompted the developers of the game to reign things in and make the product as PC as possible. Concepts like romance are fine to be brought up in official material for the game, including between people of the same gender, but anything overtly physical is usually a no-no.

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The creator of the Forgotten Realms is a writer named Ed Greenwood and his view of Faerun was far different than what made it into print. Greenwood's version of the Forgotten Realms has been discussed at length on the Candlekeep forums, where he has answered numerous questions about the setting for years.

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According to Greenwood, the attitudes toward sexuality are far different from the real world in relation to the polytheistic society of the setting, as there are numerous gods and types of faith that must coexist with each other. Therefore, in Faerun, it's far more common for people to be openly gay or bisexual, while polygamy and relationships between people of widely different ages are also common, though that last part is kind of expected when humans can date elves that have lived for centuries. The attitude towards bondage and similar fetishes is that they are fine, so long as everyone consents beforehand. The exact attitude towards sexuality is different depending on the location, with big cities generally being more open-minded than small, secluded places, but matters of physical intimacy are generally not considered to be a big deal.

Greenwood also had a lot to say about brothels, which had to be called "festhalls" in print. In Faerun, festhalls act as places where people can indulge in their wildest fantasies, or just enjoy a drink and watch other people get down to business. The festhall is meant to be a place where people can do what they want in a space where they won't be judged by their peers, assuming that they aren't harming another in the process. The festhall exists outside of the normal boundaries of societal taste, which is why they are a popular attraction in most cities.

It's understandable why all of this material never made it into Dungeons & Dragons in any official capacity. Indeed, it's rare for this kind of content to appear in any tabletop RPG. Vampire: The Masquerade more often deal with sexual content than other games, but even that was hamstrung by the fact that vampires had a hard time actually being able to perform in the bedroom. It's up to each tabletop group to determine their boundaries when it comes to adult content in their games and many are satisfied with dealing with Dungeons & Dragons as written, with no romance or sexual content included. Greenwood's view of Faerun makes sense from a world-building standpoint, considering how important physical intimacy is to people in the real world, but it's not really relevant to the people who are just trying to explore a dungeon in search of monsters to fight and treasure to claim.

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Source: Candlekeep Forums, (2),