Baldur's Gate: Siege of Dragonspear tries to be progressive, and the vocal minority has a tizzy.

Gamers Flood Baldur's Gate Expansion with Negative Reviews After It Introduces a Transsexual Character - CraveOnline

The game's inclusion of a trans character has led to it being targeted. The GOG and Steam store pages for Baldur's Gate: Siege of Dragonspear are littered with negative reviews, with gamers trashing the game largely as a result of an encounter that takes place between the player and a transsexual character.

craveonline.com

What I still fail to understand is how, in a game where people assume the role of any species/being, gender, class and role they desire, it would be so "threatening" to see or interact with a trans character. Especially since so many people I play tabletop and rp games with have absolutely no problem role-playing as just about anything on the spectrum. Although the expansion's review score is currently suffering on GoG, it's pretty important to note that these vocal voices are still likely a small minority of the community that just happens to know how to slam a game they disagree with. It's important for people who respect the decision and the game to take a few minutes to put an honest rating in for the game.

As Crave put it: "It's odd that in a fantasy game featuring giant ogres and dragons, the appearance of a transgender character is where so many draw the line in terms of realism. While complaining about the game's writing is one thing, this clear attempt to damage its success as a result of it including a transgender NPC is very disappointing and, considering it is being staged by a group that supposedly champions developers' artistic freedom, quite ironic.

"Given that Mizhena is a minor NPC in the game and can be completely overlooked, that the exchange between her and the player is what has inspired so many to leave such negative user reviews, strongly suggests that those who are angered only believe in developers' artistic freedom when those developers are creating things that they personally agree with."