All of his children to date have been conceived using IVF.
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@elongatedmuskrat @mods bte market can resolve (I posted the WSJ link below as source—IMO that story is as definitive as evidence/proof as what we could reasonably expect in a case like this)
@Ziddletwix maybe a shred more proof in the future :)
https://telegrafi.com/en/elon-musk-merr-oferte-milioneshe-per-te-luajtur-ne-filma-per-te-rritur/
WSJ reports (1) he is the father of Ashley st Clair’s child, citing the paternity test he was ordered to take by the state of NY, & (2) reports that the child was conceived naturally
Child was supposedly conceived naturally:
https://people.com/ashley-st-clair-sues-elon-musk-for-sole-legal-custody-of-their-son-rsc-11684615
Though there's a possibility he's not the father.
Forbes suggests that he already has (but the child died)
https://www.forbes.com/sites/alexzhavoronkov/2022/07/27/elon-musk-and-other-billionaires-make-their-babies-via-ivf-and-surrogatesis-it-a-future-of-reproduction/?sh=60c95f0c1cf0