Devs who day it's impossible to create accurate face scans are lying. Quiet from MGSV is an almost exact 1 to 1 copy of her face/body model and that shit came out almost ten years ago.
They are making women fuck ugly on purpose for ideological reasons.
Not that I don't disagree some bullshit is afoot when it comes to design approaches for characters in current AAA games, but there's a difference between using an actual Lidar scan of a person, cleaning up the noise, then retopologizing it like for Quiet, vs. making a sculpting a model from scratch like what was done for this shit-heap.
While there's not a complete lack of skill required in making an accurate photoreal digidouble from scan, it is undeniably easier than making a model from scratch as you don't have to eyeball all the anatomical and proportional details while trying to capture the characteristic features of the character from whatever reference images you're using (photo ref, char design sheets, etc.).
I do suspect that game studios are apprehensive about making characters too stereotypically attractive and appealing to the average consumer given the backlash they got over the past 10-15 years for hypersexualized characters (re retards screeching at aesthetically pleasing character designs) . In my experience dealing with the newest crop of art school graduates that go into these sorts of character design fields, they tend to have grown up on tumblr art boards as its where most people nowadays find themselves when searching for art tutorials, and consequentially start building this mantra that "there's no such thing as aesthetic beauty, make something unique instead of nice to look at".
TL;DR making even stylized 3D characters can be challenging and there's a competency crisis in games, art school grads are taught that objective beauty is a fallacy to be avoided hence ugly ass designs, Hideo Kojima is a creepy fuckin nip who rubs his slimy palms together while salivating over scanning white actresses' feet for his personal spank bank.
