I am usually just kind of unphased by the idea of reproductive or sexual horror when it's not directed at my PC's personally but being ace and with no history of sexual assault I find it doesn't affect me any different than any other kind of horror? Like I have read my share of true crime and awful shit and I can see how it just segments into something just genuinely horrific but my brain just treats it as a straight up no different than a torture theme. I can find other people's reactions to it waaay more unsettling though so I could never run it myself and I know a number of people in my cohort who have been in domestic violence and sexual assault scenarios irl and it would break my heart if any of them were triggered at a table I was at.

I've definitely been at tables which used sexual horror themes in lazy, trashy ways that made me think poorly of the GM but I have seen it used thematically well twice and only once where it didn't cause an X card tap out by someone who honestly thought they would be okay.

High risk TTRPGs can be ridiculously rewarding and some of the best games I've played were ones that danced really close to the wire of being not okay.