The film offers no visible LGBTQ+ characters or non-cisnormative identities. The narrative focuses almost exclusively on the psychic bond between the protagonist and the puppet.

Elisa Ivanov serves as a central figure with significant agency through her psychic abilities. While she avoids being a purely passive victim, the film does not systematically subvert gender hierarchies.

The protagonist's Slavic heritage provides a departure from Anglo-Saxon centricity. However, ethnic identity remains secondary to the supernatural plot rather than a lens for systemic critique.

The story critiques Nazi ideology through the villainy of Dr. Hauser. This critique follows traditional horror tropes rather than offering a sophisticated deconstruction of historical institutions.

Psychic sensitivity and mental distress are explored through Elisa's nightmares. These elements function as horror plot devices rather than empowered portrayals of neurodivergence or disability.