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Relationship Mechanics Work Because The Game's Creatives Value Human Complexities
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Baldur’s Gate 3 is a story-rich, party-based RPG set in the universe of Dungeons & Dragons, where your choices shape a tale of fellowship and betrayal, survival and sacrifice, and the lure of absolute power. (Website)
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It started in the West, though.
More extreme example: the original version of Jynx the Pokemon is not intentionally racist, but it started as an adoption of Western blackface cartoons. Is it a common trope in Asia? Yes. Is it intended to be racist? Not at all. Is it actually racist? Yes.
Blackface is directly traceable back to slavery, and no earlier. Something as simple as hooked noses or ugly physical characteristics, however? That's universal.