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it requires both kiyoko and miko to be heavily pregnant (sleep with kiyoko three times from the not pregnant state and wait until miko has a big belly or has placed her hand on her stomach in her art). This option will not show up until the conditions of Miko's state are met.

i'd love the possibility to make some of the kitsunes concubine (especially Miko) as it would allow some of the content recently added to be re-playable (again the new Miko content) and Kiyoko doesn't really seem to have a problem with the PC taking more lovers/spouses/concubines.