He's talking about the fact that almost every depiction of nudity and sex in videogames have been "12 year old's cringey hornyness for style + the worst B-grade budget porn production", e.g. DAO sex scenes.
But then, this thread is 'crazy ideas', so sure. Proper nudity, sex? Nothing against that. What we do get tends to be puerile trash.
Exactly. Almost every game has this "12 year old's cringey hornyness", with Xena chainmail on the one hand and ridiculous non-explicit true love story dialogue on the other hand. While in reality people flirt, tease, and fu*k, that are basic parts of human interactions. Now tell me how many Quests you know in cRPG where sex is a possible solution? I am not saying this should be standard, but for some characters this should be a viable way to approach things.