One possible plot twist could be that Atem doesn't believe the baby is his at first. This could lead to a rift between him and Yugi until evidence proves otherwise. Another twist could be that there is some sort of magical or supernatural complication with the pregnancy. Maybe the baby has some special powers that put it in danger from other forces in their world.
A plot twist might be that Yugi discovers that the pregnancy is part of a prophecy. This could change the whole dynamic of how they view the situation. Or perhaps there is a character who tries to use Yugi's pregnancy for their own gain, whether it's for power or some other self - serving reason. It could also be that Atem has to sacrifice something important to ensure the safety of Yugi and the baby.
A third theme could be the connection between different worlds or states of being. Atem is from the spirit world and Yugi is in the physical world as a baby. The fanfiction could explore how their relationship bridges these two different existences, and how they interact despite the differences in their natures and the worlds they belong to.
The plot could be about Atem protecting Baby Yugi. Maybe there are some dark forces in the spirit world that are after Yugi even as a baby, and Atem uses his powers to keep him safe.
One possible plot could be that in a world where magic has strange side - effects, Yugi or Atem accidentally get affected by a spell that results in a situation similar to pregnancy. It could be a story full of confusion and discovery as they try to understand what's happening to them and how to reverse it, while also dealing with the reactions of their friends and foes in the Yugioh universe.
Well, it could start with Yugi's initial shock and confusion. He might keep it a secret at first, trying to figure out how to handle this situation on his own. Then, as the pregnancy progresses, he would have to face the reality and start thinking about how Atem would react when he finds out. Maybe there would be some drama as Yugi tries to balance his normal life and this unexpected pregnancy.
Another idea is that the pregnancy is a symbol of a new beginning for Atem and Tea's relationship. They've been through a lot together, and this pregnancy forces them to grow even closer. They could face challenges like financial difficulties or disapproval from some of their friends or family, but they overcome them through their love for each other and their excitement for the new life they are bringing into the world.
Yugi, on the other hand, often becomes more self - assured. The experience of mpreg makes him grow in ways he didn't expect. He may learn to stand up for himself and his unborn child more, even against some of the more judgmental characters in the story. He also becomes more in tune with his emotions and the connection he has with Atem.
One possible plot twist could be that Severus initially denies the child is his, leading to a rift between him and Harry. Then, as the pregnancy progresses, he realizes his mistake and has to fight to win Harry back. Another could be that the wizarding world discovers the pregnancy and there is a huge outcry against it due to their past relationship, forcing Harry and Severus to go into hiding.
Perhaps Bianca gets into an accident and there are concerns about the baby's health. Drew has to struggle with his fear while trying to be strong for Bianca. Or, there could be a misunderstanding where Drew thinks Bianca doesn't want the baby anymore because of some miscommunication, which causes a rift between them until they clear things up.
In a pregnant - themed fanfiction, Yugi's character could develop in a way that shows his growth into a more responsible figure. He may have to face situations he never thought of before, like taking care of someone in a very different way. Atem's character would likely evolve to be more in touch with his emotions. Normally so stoic, this situation would force him to deal with feelings of vulnerability and dependence, which would be a big change for his character.
One possible plot development could be the reaction of the Cullen family. They might be shocked and have to deal with the implications of this unexpected pregnancy. Some may be supportive, while others might be worried about how it will affect their vampire - human relations.