The film lacks LGBTQ+ characters or non-cisnormative identities. It operates within a heteronormative framework centered on the protagonist's pursuit of a specific female lineage.

The narrative relies on a predatory gender hierarchy. Coffin Joe views women as biological vessels for eugenics rather than individuals, presenting a framework of extreme misogyny.

Casting reflects 1960s Brazilian socioeconomic realities with a predominantly white and pardo cast. It offers localized cultural specificity that deviates from Hollywood norms.

The film excels by challenging the hegemony of the Catholic Church. It presents a secular, atheistic worldview that deconstructs traditional religious and institutional authority.

There is no nuanced portrayal of disability. Themes of psychological instability are used as horror tropes rather than exploring lived experiences of neurodivergence.