NTR Games Collection by NTRISM itchioNewhalf refers to people assigned male at birth but identify as female. They could undergo HRT and gender confirmation surgery to align their physical appearance with their gender identity. Newhalf are commonly associated with the Josou community and enjoy expressing their femininity through clothing and makeup. Certain people could identify as otoko no ko on a part-time or full-time basis, depending on their comfort level. In recent years, otoko no ko are becoming more visible and accepted in society, leading to increased awareness and understanding.