The film follows the original plot's focus on madness and hypnotic control. There are no queer narratives or non-cisnormative identities present in the character arcs.

Power dynamics center on male figures of authority and their subjects. Female characters function primarily as plot catalysts or victims within traditional horror hierarchies.

The cast and setting remain historically and aesthetically homogeneous. The film does not use diverse casting to challenge the Eurocentric landscape of the original work.

Themes of institutional corruption and reality's instability provide a moderate critique of authority. However, the focus remains on psychological tropes rather than cultural deconstruction.

Cesare is utilized as a vessel for horror and plot progression. The film leans into the 'madman' trope rather than offering nuanced agency for mental health conditions.