The film focuses on a central female relationship without explicit queer romantic subplots. While it avoids heteronormative tropes of domestic bliss, it does not actively center LGBTQ+ identities.

The narrative is driven entirely by female agency, centering on the struggle between Susana and Pilar. It disrupts horror tropes by placing women in positions of both vulnerability and terrifying power.

Casting is predominantly Spanish, reflecting the specific setting in Madrid and rural Spain. The film prioritizes localized socioeconomic and regional identities over a globalized, ethnically neutral approach.

The film critiques traditional institutions by framing family legacy and folklore as sources of terror. It challenges the perceived sanctity of ancestral hierarchies and the nurturing grandmother trope.

The story explores vulnerabilities associated with aging and the loss of autonomy. It remains unclear if these portrayals offer meaningful agency beyond standard genre tropes regarding physical or cognitive impairment.