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AI-generated media is radically changing the way content is both consumed and produced on the internet, and in no place is this potentially more visible than in sexual content. AI-generated sexual content (AIG-SC) is increasingly enabled by an ecosystem of individual AI developers, specialized third-party applications, and foundation model providers. AIG-SC raises a number of concerns from old debates about the line between pornography and obscenity, to newer debates about fair use and labor displacement (in this case, of sex workers), and spurred new regulations to curb the spread of non-consensual intimate imagery (NCII) created using the same technology used to create AIG-SC. However, despite the growing prevalence of AIG-SC, little is known about its creators, their motivations, and what types of content they produce. To inform effective governance in this space, we perform an in-depth study to understand what AIG-SC creators make, along with how and why they make it. Interviews of 28 AIG-SC creators, ranging from hobbyists to entrepreneurs to those who moderate communities of hundreds of thousands of other creators, reveal a wide spectrum of motivations, including sexual exploration, creative expression, technical experimentation, and in a handful of cases, the creation of NCII.