Who is the father of Amber's baby?

Ryan Sinclair, the twin brother posing as Ethan.

Why did the Sinclair family orchestrate the relationship?

As calculated retaliation against Amber.

After I Left, the Twins Went Crazy

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After I Left, the Twins Went Crazy — Medical student Amber uncovers a fabricated romance and a twin deception on her anniversary.

On what should be a celebration of three years together, medical student Amber confirms a pregnancy and overhears a conversation that shatters her reality. The man she knows as Ethan Sinclair is actually his twin brother, Ryan. Their entire relationship was engineered by the Sinclair family as calculated retaliation. Every shared memory and intimate moment was manufactured for this scheme. Amber now carries a child conceived within that deception, forcing her to navigate the collapse of her past while deciding her future amid the exposed fraud.

Quick answers

Who is the father of Amber's baby?: Ryan Sinclair, the twin brother posing as Ethan.
Why did the Sinclair family orchestrate the relationship?: As calculated retaliation against Amber.