Cultural attitudes toward AI sex doll companions reveal a spectrum shaped by religion, gender norms, family values, and social taboos. In some regions, there is growing acceptance of intimate robots as tools for companionship, therapy, or sexual exploration, accompanied by a push for privacy protections and ethical design. In others, public discourse may frame such technologies as morally problematic or misaligned with social expectations, leading to stigma or restrictive regulations. Economic factors also play a role: access to sophisticated devices can reflect broader technological adoption and disposable income. Media narratives influence perception, from scripts emphasizing loneliness and connecting through companionship to stories that warn about dependency or eroding human relationships. Education and literacy about AI capabilities help communities discuss benefits and risks constructively. Across regions, inclusive design—recognizing diverse user needs and avoiding reinforcing harmful stereotypes—can foster more nuanced conversations. Understanding these cultural dynamics is essential for responsible development, respectful deployment, and meaningful, consent-based user experiences.