The film lacks explicit depictions of LGBTQ+ identities or non-heteronormative relationships. The narrative focuses primarily on the protagonist's personal trauma and her professional life as a sex worker.

Miyabi disrupts traditional gender hierarchies by centering a female protagonist whose agency is defined by her marginalized social position. The film avoids domestic tropes, focusing instead on her unconventional labor and bodily reclamation.

As a Japanese production, the film presents a culturally specific narrative with a predominantly homogeneous cast. The potential for a more fragmented social landscape is suggested by the theme of societal collapse.

The story critiques capitalist and patriarchal norms by focusing on a protagonist outside traditional family structures. It explores subjective spirituality and the dissolution of established social and religious institutions.

The protagonist's psychological state and grief serve as a study of mental health and emotional vulnerability. This trauma acts as a central driver for the plot's progression.