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More commonly, popular illustrators or cartoonists on platforms like Patreon or Fanbox use a pseudonym to run a second, adult-oriented art account. The internet is rife with cases of wholesome artists who create a "secret" OnlyFans where they draw erotic or fetish content (e.g., fan art of video game characters, or original NSFW comics). It is highly plausible that "Sarah Illustrates" is either: