I'm not sure who Aku specifically is. Aku could be a person with a great imagination who tells all kinds of stories, like adventure stories, fairy tales or even true - life stories.
Sukuna does die in the manga. The way it happens is quite dramatic and ties in with many other elements of the story, adding depth and tension to the overall narrative.
It could be someone from the Naruto universe who doesn't like Naruto's newfound fascination with Aku. For example, Danzo might see Naruto's interest in Aku as a threat to the stability of the village and try to stop Naruto from further exploring Aku - related things. So, Danzo could be the main antagonist in this case.
The character of Aku could be developed in a 'pregnant Aku in Samurai Jack fanfiction' by exploring how he interacts with the world around him differently. He may become more reclusive as he doesn't want others to see his 'weak' state. Or he could become more aggressive in trying to protect his pregnancy, which would be a new aspect of his character. Also, his relationship with his own power might change. Maybe he has to find new ways to use his magic that don't harm the unborn, which would force him to grow and adapt in ways he hasn't before.
One idea could be a crossover where Aku accidentally opens a portal to the Naruto universe. Naruto, being the curious and brave ninja he is, decides to explore Aku's world. They could start off as enemies, but gradually come to understand each other's motives and end up teaming up against a greater evil that threatens both of their worlds.
No. Ryomen Sukuna is a fictional character from Japanese mythology and modern manga/anime. He doesn't have a basis in a true historical event or person.
Nope. Ryomen Sukuna has no basis in reality. It's a product of the creative minds of the writers and illustrators who designed a captivating fictional character for the enjoyment of the audience.