The film lacks explicit LGBTQ+ characters or narratives addressing non-cisnormative identities. The story follows a traditional detective procedural structure without visible queer subtext.

Terri Keyes provides a female presence in a professional partnership. However, the character Annie Dyer is framed through objectifying descriptors, relying on conventional gendered archetypes.

The narrative follows a standard Western procedural template with no indication of a diverse cast. There is no evidence of non-Anglo-Saxon characters in central roles.

The plot critiques extremist ideologies through Nazi-inspired medical research. However, it relies on established horror tropes regarding occultism and Hell rather than deconstructing institutions.

Inmates in the asylum appear to function as passive victims of medical experimentation. This risks using mental health or physical disability as a mere plot device.