Fanart is by Syurii22.
Toyosatomimi no Miko is a character in the Touhou Project series introduced in its 13th installment, Ten Desires.
Miko was once Prince Shoutoku, a Japanese leader in the 600s known for promoting Buddhism and streamlining the Japanese government. In the Touhou lore, she was visited by Taoist hermit Seiga Kaku, who had heard about Miko’s longing for immortality. Seiga introduced her to Taoism, but she rejected it as a religion unfit for placating an entire country. She was intrigued by its promise of immortality, however, and privately converted to it, advocating for Buddhism to keep Japan stable. After drinking an “immortality elixir” (mercury sulfide), however, she was forced to let go of her body and become a supernatural hermit like Seiga, notably taking on the form of a woman, making her a canonically trans character ().
After convincing a hermit from a rival clan (Mononobe no Futo) to sleep without decaying, Miko followed in suit, waiting for a time where a Taoist Japan would revive her in search of guidance. However, Buddhist monks were able to keep her mausoleum sealed, and the legends surrounding her were slowly brushed off- which led to her transportation into Gensokyo, where the folklore of old is a reality of everyday life.
When she awoke in Gensokyo, it was right after Buddhist monk Byakuren Hijiri opened her own temple, however, leading to a surge of divine spirits across the realm, setting up the events of Ten Desires.
What look like headphones on her are canonically earmuffs- Shoutoku was allegedly able to discern between ten questions asked at once, an ability carried by Miko (although with her enhanced abilities, she can also analyze each person and determine their inner desires (thus the title of the game))- although it means her hearing is highly sensitive and has to be muffled to prevent pain.
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As a reminder, be sure to properly give content warnings and put sensitive subjects behind proper spoiler tags. It's for the mental health of not just your comrades, but yourself as well.
Here is a screenshot of where to find the spoiler button.

went to check the start of book 2 and yeah, unfortunately you're locked in, unless you make a new character. There is an option to remake a character and go through the important choices, but yeah. They reveal more about themselves in book 2 obviously, but the series is a sort of a slow burn for the first 2 to 3. Probably longer if you count Ava. I'm sorry
although this stuff from book 2 was great
Nice it's like Mass Effect saves!!! I actually backed up my save at the Choose Your Waifu crucible just in case, I was worried. I think I can stick it but it doesn't feel like a slow burn, Farah..... blegh
Lol I like this height selector, awesome. Big fan.
fun fact about Farah that she reveals in book 2
she refuses to have sex without dating a bit first, apparently she's been burned too many times by people thinking she's a shallow one-night-standanother fun fact, my original order of playing the routes was: Farah, Nat, Ava, Morgan and then love triangle
after getting through book 2, my order was Morgan, Farah, Nat and Ava who?
This was solidified in book 3
I ain't reading that spoiler :3
Ava goes on the bottom of every list though, very good. That love triangle option... uh can you do a poly thing?
I respect your convictions
The love triangle is dating Nat and having feelings for Ava and she being incredibly confused about why this mortal is able to crack through her icy facade that she spent decades perfecting. I have no idea how it ends up, because it's fucking filled with angst and no comfort. Atleast for now.
also constant decision that make one of them sad. You would hate it.
I take my romances extremely seriously
You should probably be able to kiss them both, I think, even though Ava is a big fucking loser. Also oh no angst~!
Actually one of the things I'm most curious about is, I wonder if the dialogue changes much to suit your gender... is it just a Standard Video Game thing where the only part changed is your gender, or does that actually play out in the vampires' affections????
I'm not sure exactly what you mean, but there's some obvious changes with flavour text like where you blush from, which is honestly kind of a cute difference. If i remember correctly men blush from their ears or the back of their neck? i can't open the files right now to check. While women blush cheekily and i dont actually remember how themperors blush
the bigger changes are when choosing your sexuality because it determines the sex of the vampires (and your possible college ex) if you go the bi/pan route two of the vampires are he/hims and two are she/hers. The core of the character is the same, but they're gender swapped.
let's see if I remember.... they are: Adam/Ava, Farah/Felix, Morgan/Mason and Natalie (Nat)/Nathaniel (Nate)
there is still only one full time patreon funded writer/coder/developer so it's not like the game is going to entirely change, but there are some differences that I've noticed while crawling through the code
The game has a lot of colourful blush-related descriptions for themperors, like heat crawling up your neck, stuff. Less literal blush descriptions, that's a very cute change, but
Uh....
I always held a little disdain for the "everyone is bisexual but only mechanically so we don't have to write more dialogue" thing, but... I think switching the characters' GENDERS, their fucking whole GENDERS on account of the player's sexuality is even more scuffed??? Are they different characters entirely when swapped??? 
It figures now why you can only be Gay Straight or Bi, there's no flexibility. It's a fucking shame and a missed opportunity to have an entirely nonbinary Unit Bravo, think of the t4t potential. Y'know since nb is functionally "third gender" in this game...
Also, "sex", yeah I see. Still dead curious, I'll post when notable shit happens.
I would never kid about my romance simulator novels
There's some changes, but I havent played with them as guys, for obvious reasons. I did go through a bi route once and it was actually kind of novel to have Adam and Nate being around. A lot of things get contextualized differently with their gender swaps, obviously, but yeah as i said 2018 was still a dark time for all of this
Entirely nonbinary team of vampires would rock tbh
stop making me wish for things that cannot be! 
Good, that shit is serious business
This statement gave me a Sensible Chuckle because I'm so familiar with it, hello old friend. "The 90s was still a dark time for [gay cinema]", "The 2000s was still a dark time for [trans fiction]", lmao. It truly doesn't end. I do get the creeping sense that the Wayhaven author might be a dork, and that the En Bee option was slapped on last minute, kind of a hunch... More generally I doubt Wayhaven's alternate setups are worth considering.
I mean, it could be if someone would do something!
she is
but she is learning, and has a large audience of lgbtq people clamoring for all kinds of things, including the option to choose your top and bottom machinery preferences. By book 8 I'm sure we can just straight up be transpeople with neopronouns if we so choose 
in the character maker for book 4 demo there's an option to choose if you have tits or not and if you have a dick or not
three whole books of narrative