Standard fantasy narrative, except...

The narrator is a god and uses second person narrative to follow a human "main" character. The human is trans, and this isn't a defect, or a super power, it just is present in the world and accepted. Although twins are hated and feared in some cultures, despite not controlling how they are born.

Very Leckie, and also my favourite, I think. It's faster paced than the Ancillary books. Less tea and gloves.