Slippery slope fallacy. We know that consumption of real CSAM might increase frustration and lead to pursuit of real crimes. However, we don’t have the same level of evidence for illustrations or sex dolls. It’s a massive blind side in the scientific literature. It’s very hard to study.

Despite this, the number one risk factor still remains unsupervised access to minors. Regardless of whether the abuser consumes abuse media or not.