Sketch: Thio and Sanjio makeover (sketch)
Possibly spoilery art, so I will place it below a cut:
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Sketch: Thio and Sanjio makeover (sketch)
Possibly spoilery art, so I will place it below a cut:

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Sorry if this is ignorant but how can Sanjio have kids if he's paralyzed? Are they adopted?
The limbs may be frozen, but the plumbing still works. ;)
I actually did quite a bit of research when designing Sanjio's character to make sure his condition was at least somewhat accurate. I was surprised to learn that there are varying degrees of quadriplegia. Very rarely is someone 100% unable to move, and even then, most if not all of their organs may work perfectly fine. It just kinda depends on the cause and location of the issue causing the paralysis.
In Sanjio's case, his head is tilted oddly which suggests a deformed neck/upper spine, and this is likely the source of his paralysis. He has no control over his arms and legs, but he can move one of his hands from the wrist down (he uses this hand to control his motorized chair), wiggle his toes, and open/close his jaw somewhat. He can move his tongue and swallow, but he's unable to form coherent words, so he uses telepathy to communicate. He expresses himself the most with his eyes and eyebrows.
Despite all that, his organs are unaffected. (Maybe this is how he's managed to survive so long in his condition?) Believe it or not, a lot of quadriplegics have functioning sex organs, and they can and do go on to have children naturally.
I didn't consider adoption, but now that you mention it, I think that's a great idea! I think he will have some children by blood and at least one disabled child that he adopted from his own charity orphanage. He would be a great father to such a child.
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Omg! Can a Mecheskema fix Sanjios disability? Would Ojio even do it? Since he apparently hated his brothers...
Good question! The following answer contains spoilers, so I will place it under a cut.