The film disrupts heteronormative expectations by centering on erotic and morbid themes. However, the lack of explicit, non-heteronormative romantic pairings limits the depth of queer representation.

Taeko, an erotic novelist, provides a sense of female agency by driving the central mystery. Yet, female characters are frequently tied to themes of trauma and victimization.

The cast appears relatively homogeneous within a Japanese cultural context. The narrative focuses on psychological horror rather than exploring intersectional racial dynamics or diverse ethnic identities.

The film aggressively deconstructs traditional social institutions and the sanctity of the family unit. It embraces moral relativism, blurring the lines between reality, illusion, and morality.

The surrealist circus setting utilizes the grotesque and uncanny to create atmosphere. Characters with irregularities risk serving as mere stylistic devices rather than individuals with agency.