I researched the concept of "X-Cards" a bit and did not find many Google hits. Most were from 2013 and I did not see much traction after that point.
I can see a small amount of use in "pick-up" games, but if you have a core gaming group with good communication between gamers and a GM it would seem unnecessary, but if a group wants to do it more power to them.
IMO The use of such a card could be totally disruptive. If a player had an X-Card for "rape" and you introduced Molly Warren in T2k, her entire backstory and motivation would need to be changed on the fly. Of course anyone who might be that traumatized by the fictional representation of rape, should probably stay out of any realm which is not socially progressive, peaceful, and lawful.
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