I use it. It's a hassle to change the settings every time the mod updates, but it works really well in my games. Try changing the percentages of births and marriages to get less births and more marriages. Or you can try marriage-only pregnancies to see if that works better
You don't need to change the settings every time - just don't delete the config file.
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You don't need to change the settings every time - just don't delete the config file.