Well, it's very medieval in that it doesn't much affect having kids, and that the dynastic marriage game runs roughshod over everyone's love preferences anyway. Never forget that that is the baseline that everything varies from.There is weird schizophrenia in the game with the way orientation is treated. Sometimes it's modern view, sometimes it's medieval.
Your character can catch it like a disease, or get it from demons. But you can't have your court physician cure it, nor can you remove it by joining monastic order.
But people are basically people, and it was definitely common to take paramours. And those weren't always of the opposite gender. The more powerful the person, the less it mattered, though women usually had less freedom than men in this regard. Unless their object of desire happened to be a step up the social ladder than their husband; few nobles whose wife became a king's mistress had much they could do about it, and it was not unheard of for them to collaborate in the matter, for social gain and favour. Heck, they likely had their *own* mistresses to take care of that side of life
And while the bulk of the add_lover events go with the preferred gender, there are a handful that mix it up, which helps cater to more complicated situations. As well, Homosexual is often added later in life, and doesn't switch off previous lovers, so you will see the occasional character with lovers of both genders. In theory there's nothing to prevent a mutual three-way love triangle, but I've never spotted one. Seduction focus might set it up, with a random event making two paramours of the seducer become lovers, I guess.
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