My current fav, I don't know what to say I adore how my ninja character looks c:

Was my favorite one for a long time, probably the best base presets options in the list. Also reminder to self to play the newer one that looks great.

Unnecessarily complex but in a good way. Although it's most notorious to making abominations like the 'penis lizards' back in the day, there's undeniable quality and options in here, even if the meshes could be improved.

The face results are really really good, but limited body options and the sliders where you kinda push and pull the characters face is very unprecise, especially with how your character often moves during it.

Almost 1 to 1 with the DS3 one but slightly better graphics and more options.

Very easy to fuck up and make abominations, like the other souls creators, but with some great face options.
May be the hardest one to use properly in this list.

The one where creating is the least important, but with a surprising amount of good looking options that are just there to make you feel worse if you fuck up and kill them accidentally during an Ironman run thank you Xcom c:

Really good for anime looks, but limited to it's aesthetic, making everything look kinda samey.
Too many options for gear that looks Mad Max inspired and not enough simple and normal accessories as well.

The Sims 4 has amazing options to making a human being but the general aesthetic for the purpose of this tier list drags this one a bit, even if it's probably more competent than the others in this list. Maybe if I had the dlcs I would place this one higher, idk.

Its solid for the time but very limited, which is a shame because it's from an MMO.

Nothing much to say besides that this one, alongside some mods like KS Hairs and Eyes of Beauty and CBBE, would likely be #1

Basic options from a character creator that is surprisingly hidden from the general public. It is especially funny because the hair options are shockingly good for a game in which you will always see your troops wearing helmets, unless they die by a headshot from a critical hit in which case they drop their helmets thank you Xcom c:

Absolutely blows for male customization, but there's some merit for female options in here.

In terms of UI, this is probably the worst one in the entire list. Doesn't help that every sim looks the same, with the puffed cheeks and unfinished hair textures.

Easiest one to make accidental monsters, but stay with the presets with some minor changes and its passable.

Somehow more goofy looking than 1.

Old and janky, but I added to this list just to clown on the ones from late 00's Bethesda.

I love you, but my god, ew at those hairs.

Only capable of making playdough looking faces.

I refuse to elaborate.