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The second is how I'd personally rule True Resurrection recreating a body that no longer exists or is too damaged to use. Same with how you look when Astral Projecting.

My personal take on it is this. Since it requires the body, normal Resurrection rebuilds the body from the body's own blueprint then asks the Soul to return to it. So diseases, missing limbs/organs, body mods, etc. get "fixed" from the body's POV and you're left with what your body would be at that age if nothing prior had happened to it. Then you'd be contacted in your respective afterlife and asked if you want to come back.

True Resurrection contacts you first and then if you agree to come back looks to the Soul to create the appropriate vessel for your return.

So a trans woman would be Resurrected in the man's body she was born in. But would be True Resurrected as the woman she always was inside.

So I'm just picturing a Church of Bahamut using True Resurrection to revive one of their mightiest heroes from a time long passed. Who legends say was a mountain of a man almost seven feet tall and who was so strong he could rip a man in half with his bare hands. Only for an absolutely tiny woman to appear before them because when the hero died in battle and arrived in the afterlife that's when she finally saw her true self that she'd been running from all that time. She absolutely can still rip a man in half with her bare hands of course because her abilities wouldn't change.