The way I see character creators is that if it's a first-person game (Fallout, TES, M&B, etc.) game where I'll never (or rarely) see my character, I don't give a flying **** what my character looks like. I'll choose a gender based on how I want that playthrough to go but the rest of how my character looks doesn't even cross my mind as I simply don't care if I'll only see them for a fraction of the game. If I'll be seeing their faces a lot, I might hit the randomize button a few times, but again, I don't honestly care what my character looks like so long as it resembles a humanoid creature. I have a friend on Steam who spent over four hours designing their character in Skyrim and downloaded mods just to give them additional detail modifications and then they played the entire game in first person...
Now, if there's unique options like horns, tails, etc. and especially if your cosmetic choices affect dialogue choices down the line, then I might go full Saint's Row and create something outlandish, but for 99% of the games that offer character customization, I don't really care.