The film lacks explicit LGBTQ+ characters or non-cisnormative identities. Interpersonal dynamics focus on heteronormative romantic interests without critiquing traditional norms.

Narrative agency is concentrated almost exclusively in male protagonists. Female characters primarily serve as victims or catalysts, reinforcing conventional gender hierarchies.

The film does not prioritize a non-white majority cast or utilize race-blind casting. It focuses on individual psychological struggles rather than racial intersectionality.

The story critiques institutional authority by depicting the failure of medical systems. It challenges the benevolence of progress through the lens of urban decay.

Belial is a sentient, independent actor rather than a passive object of pity. The film centers the visceral reality of living with profound physical differences.