The film lacks LGBTQ+ characters or narratives addressing non-cisnormative identities. It operates within a traditional framework focused on the psychological effects of sleep deprivation.

Bianca serves as a strong female protagonist with significant agency. She navigates professional competition and supernatural threats, avoiding passive tropes in a high-stakes survival scenario.

As a Latin American production, the cast reflects regional demographic realities. The film does not explicitly center intersectional racial dialogues or disrupt traditional casting norms.

The abandoned psychiatric hospital setting critiques institutional failure and systemic neglect. The narrative uses this space to explore historical trauma and the shadows of past neglect.

Mental health and neurodivergence are central themes due to the hospital setting. However, psychological instability often serves as a horror plot device rather than a nuanced portrayal.