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It can't take place in Scotland, the Wild Wild West, or the Middle Ages.
Interestingly enough, this is where M/M romances have made a difference.
With traditional (M/F) romances, I can never shake the idea of how freakin' cold everything is in those settings. Although I grew up reading--and being read--The Little House on the Prairie books and have a high opinion of these books, I was never once in all my childhood attracted to the lifestyle.
I've met people who are--I've even read a very honest and humorous book about being obsessed with the Wilder milieu.
I never felt that way. Perhaps, I was too close to it. I have pioneer ancestors on both sides of my family. Their stories never inspired me to pull a handcart or wear dresses full-time or camp out on the plains. Mostly, they made me grateful that I would never have to do any of those things.
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Yet I have read a number of M/M romances based in Scotland, the Wild, Wild West, and the Middle Ages.
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The second reason that I happily indulge in M/M romances set in Scotland, the Wild West, and the Middle Ages is a reason I address several times on this blog: the men in these books have jobs, specifically jobs that allow them to move around.
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It remains a fact, however, that men could move further and do more--which doesn't mean they also didn't die from the cold. But generally speaking, I find it easier--and quite enchanting--to focus on Murdoch trying to put his estate in order and David trying to figure out a law case--Robby trying to outwit the gangsters by running West--Anthony and Sebastian maneuvering to survive Queen Elizabeth's court--
Traditional romance must by necessity--and historical accuracy--move back to the necessary (vital) jobs performed by women. And they always seem to involve people being very, very cold.
Modern heating is a wonderful thing.