The necessity of realism in sex dolls varies among individuals, depending on personal preferences and expectations. For some, realistic features—such as lifelike facial expressions, skin textures, and natural body proportions—are essential to fostering a sense of genuine connection and satisfaction. They seek an experience that closely mimics interacting with a real person, which can enhance emotional and tactile pleasure. Conversely, others find that fantasy, role-playing, or abstract designs provide more excitement and fulfillment, regardless of how realistic the doll appears. In these cases, artistic or exaggerated features may be more appealing. Factors such as the quality of material, customization options, and the ability to engage in role-play often influence overall satisfaction more than strict realism. Ultimately, the importance of realism depends on individual desires and the purpose behind acquiring a sex doll. While some users prioritize a near-human appearance for emotional comfort, others value creative freedom and fantasy integration over strict realism.