[Karkat's expression goes flat and unamused, but ultimately unsurprised. He should have figured it would wig him out.]

I guess? She gets it into her monstrous, hulking girth of a body somehow. Ask Kanaya or the Dolorosa if you don't pass out over the concept first. And don't even think about whining to me, because it is an immeasurably better system of reproduction than something where disgusting monkey children come out of the torsos of your earth women.