This is already happening. I know someone who's making an adult game in Twine for fun, and they use AI images for just about everything because they're not an artist. They say while there's inconsistencies, it gives them more freedom to depict what they want without the high cost of hiring an artist for near-photo realistic digital painting. From what they've told me, they're not alone in jumping on the idea and there's a wave of Twine porn games using AI images. And some even go so far as to mix in real people with AI generated depictions of them to fill in the gaps for the desired content.

Most people would disregard such things because they're just "stupid games for perverts" and not think about the impact, but if such things get normalized in adult gaming it's bound to spread out from there. Normalization is normalization no matter where it starts from, after all. A major concern of mine is that somebody creates images for such a game, and the images and content are based on a real person that the game's creator personally knows. If the game gets traction, that person's privacy would essentially be gone, and their sense of identity would be shattered because they aren't a public figure. There have already been instances of teenagers using AI image generators to create fakes of fellow students in order to blackmail them or just enjoy for themselves.