diff --git a/1.4/source/RJW_Menstruation/RJW_Menstruation/Configurations.cs b/1.4/source/RJW_Menstruation/RJW_Menstruation/Configurations.cs
index c496fb6..80aceeb 100644
--- a/1.4/source/RJW_Menstruation/RJW_Menstruation/Configurations.cs
+++ b/1.4/source/RJW_Menstruation/RJW_Menstruation/Configurations.cs
@@ -437,8 +437,8 @@ namespace RJW_Menstruation
                 Configurations.PregnancySource = Configurations.PregnancyType.MultiplePregnancy;
             if (ModsConfig.BiotechActive && listmain.RadioButton(Translations.Option_PregnancyFromBiotech_Label, Configurations.PregnancySource == Configurations.PregnancyType.Biotech))
                     Configurations.PregnancySource = Configurations.PregnancyType.Biotech;
-            // TODO: Also for modified Biotech pregnancy
-            if (Configurations.PregnancySource == Configurations.PregnancyType.MultiplePregnancy)
+            if (Configurations.PregnancySource == Configurations.PregnancyType.MultiplePregnancy ||
+                (Configurations.PregnancySource == Configurations.PregnancyType.Biotech && Configurations.EnableBiotechTwins))
             {
                 float sectionheight = 75f;
                 if (Configurations.EnableEnzygoticTwins) sectionheight += 100;
diff --git a/1.4/source/RJW_Menstruation/RJW_Menstruation/HediffComps/HediffComp_PregeneratedBabies.cs b/1.4/source/RJW_Menstruation/RJW_Menstruation/HediffComps/HediffComp_PregeneratedBabies.cs
index f0d8ef2..53171f8 100644
--- a/1.4/source/RJW_Menstruation/RJW_Menstruation/HediffComps/HediffComp_PregeneratedBabies.cs
+++ b/1.4/source/RJW_Menstruation/RJW_Menstruation/HediffComps/HediffComp_PregeneratedBabies.cs
@@ -181,4 +181,88 @@ namespace RJW_Menstruation
             }
         }
     }
+
+    [HarmonyPatch(typeof(Hediff_LaborPushing), nameof(Hediff_LaborPushing.PreRemoved))]
+    public static class Hediff_LaborPushing_PreRemoved_Patch
+    {
+        private static Thing ApplyBirthLoop(OutcomeChance outcome, float quality, Precept_Ritual ritual, List<GeneDef> genes, Pawn geneticMother, Thing birtherThing, Pawn father, Pawn doctor, LordJob_Ritual lordJobRitual, RitualRoleAssignments assignments)
+        {
+            if (birtherThing is Pawn mother)
+            {
+                HediffComp_PregeneratedBabies comp = mother.health.hediffSet.GetFirstHediff<Hediff_LaborPushing>().TryGetComp<HediffComp_PregeneratedBabies>();
+                if (comp?.HasBaby ?? false)
+                {
+                    OutcomeChance thisOutcome = outcome;
+                    Precept_Ritual precept_Ritual = (Precept_Ritual)comp.Pawn.Ideo.GetPrecept(PreceptDefOf.ChildBirth);
+                    float birthQuality = PregnancyUtility.GetBirthQualityFor(mother);
+
+                    do
+                    {
+                        PregnancyUtility.ApplyBirthOutcome(thisOutcome, quality, ritual, genes, geneticMother, birtherThing, father, doctor, lordJobRitual, assignments);
+                        // No more babies if mom dies halfway through. Unrealistic maybe, but saves a lot of headache in ApplyBirthOutcome
+                        if (mother.health.Dead) break;
+                        thisOutcome = ((RitualOutcomeEffectWorker_ChildBirth)precept_Ritual.outcomeEffect).GetOutcome(birthQuality, null);
+                    } while (comp.HasBaby);
+
+                    // PreRemoved doesn't use the return value
+                    return null;
+                }    
+            }
+
+            return PregnancyUtility.ApplyBirthOutcome(outcome, quality, ritual, genes, geneticMother, birtherThing, father, doctor, lordJobRitual, assignments);
+        }
+
+        private static readonly MethodInfo ApplyBirthOutcome = typeof(PregnancyUtility).GetMethod(nameof(PregnancyUtility.ApplyBirthOutcome),
+            new Type[] {typeof(OutcomeChance), typeof(float), typeof(Precept_Ritual), typeof(List<GeneDef>), typeof(Pawn), typeof(Thing), typeof(Pawn), typeof(Pawn), typeof(LordJob_Ritual), typeof(RitualRoleAssignments)});
+        public static IEnumerable<CodeInstruction> Transpiler(IEnumerable<CodeInstruction> instructions)
+        {
+            if (ApplyBirthOutcome == null || ApplyBirthOutcome.ReturnType != typeof(Thing)) throw new InvalidOperationException("ApplyBirthOutcome not found");
+            foreach (CodeInstruction instruction in instructions)
+            {
+                if (instruction.Calls(ApplyBirthOutcome))
+                    yield return CodeInstruction.Call(typeof(Hediff_LaborPushing_PreRemoved_Patch), nameof(Hediff_LaborPushing_PreRemoved_Patch.ApplyBirthLoop));
+                else yield return instruction;
+            }
+        }
+    }
+
+    // Much the same as the other one
+    [HarmonyPatch(typeof(RitualOutcomeEffectWorker_ChildBirth), nameof (RitualOutcomeEffectWorker_ChildBirth.Apply))]
+    public static class Ritual_ChildBirth_Apply_Patch
+    {
+        private static Thing ApplyBirthLoop(OutcomeChance outcome, float quality, Precept_Ritual ritual, List<GeneDef> genes, Pawn geneticMother, Thing birtherThing, Pawn father, Pawn doctor, LordJob_Ritual lordJobRitual, RitualRoleAssignments assignments)
+        {
+            if (birtherThing is Pawn mother)
+            {
+                HediffComp_PregeneratedBabies comp = mother.health.hediffSet.GetFirstHediff<Hediff_LaborPushing>().TryGetComp<HediffComp_PregeneratedBabies>();
+                if (comp?.HasBaby ?? false)
+                {
+                    // Don't reroll the outcome every time, I think
+                    // This is all one ritual, so every baby has the same ritual outcome
+                    // I don't think this will add the ritual memory every time?
+                    // Though even if it does, that's probably okay. More babies more memories after all
+                    do
+                    {
+                        PregnancyUtility.ApplyBirthOutcome(outcome, quality, ritual, genes, geneticMother, birtherThing, father, doctor, lordJobRitual, assignments);
+                        if (mother.health.Dead) break;
+                    } while (comp.HasBaby);
+
+                    return null;
+                }
+            }
+            return PregnancyUtility.ApplyBirthOutcome(outcome, quality, ritual, genes, geneticMother, birtherThing, father, doctor, lordJobRitual, assignments);
+        }
+        private static readonly MethodInfo ApplyBirthOutcome = typeof(PregnancyUtility).GetMethod(nameof(PregnancyUtility.ApplyBirthOutcome),
+            new Type[] { typeof(OutcomeChance), typeof(float), typeof(Precept_Ritual), typeof(List<GeneDef>), typeof(Pawn), typeof(Thing), typeof(Pawn), typeof(Pawn), typeof(LordJob_Ritual), typeof(RitualRoleAssignments) });
+        public static IEnumerable<CodeInstruction> Transpiler(IEnumerable<CodeInstruction> instructions)
+        {
+            if (ApplyBirthOutcome == null || ApplyBirthOutcome.ReturnType != typeof(Thing)) throw new InvalidOperationException("ApplyBirthOutcome not found");
+            foreach (var instruction in instructions)
+            {
+                if (instruction.Calls(ApplyBirthOutcome))
+                    yield return CodeInstruction.Call(typeof(Ritual_ChildBirth_Apply_Patch), nameof(Ritual_ChildBirth_Apply_Patch.ApplyBirthLoop));
+                else yield return instruction;
+            }
+        }
+    }
 }