The film lacks explicit depictions of same-sex intimacy or non-cisnormative identities. The narrative focuses on the bond between Anna and Judith without overt romantic or identity-specific subtext.

Female agency is central to this restrictive, institutional setting. By positioning women as the primary actors in a high-stakes psychological environment, the film disrupts traditional masculine-led horror tropes.

Set in the 1958 French Alps, the cast reflects the era's demographic homogeneity. While there is no evidence of whitewashing, the lack of diverse casting results in a lower score.

The religious-adjacent orphanage setting is framed through psychological dread rather than spiritual solace. The story critiques traditional Western social structures by portraying institutional authority as a source of trauma.

Judith’s neurodivergence and auditory hallucinations are central to the mystery. Rather than being a helpless trope, her unique perception of reality serves as a primary driver of the plot.