It's funny, I got NV on launch back in 2010 and while I already knew I was trans, it wasn't until then that I started seeing a psych about it 🤔 and realized it was true. Weird in retrospect since the memes about it being the trans game didn't really exist back then.
EDIT: Turns out being a well-written open world RPG that emphasizes decision-making and finding your place in the world that ALSO gives you a killer damage buff for being bi gets a lot of people thinking about their sexuality in constructive ways