The film portrays lesbianism predominantly within a cult setting, associating it with perversion, coercion, and manipulation. Female-on-female sexual acts are depicted as part of the cult's depravity, often involving drugged or unwilling participants, which contributes to a problematic and degrading representation of queer identity.

The character Emanuelle, who was established as white in the original source material and prior film adaptations, is portrayed by Laura Gemser, an actress of Indonesian and Dutch descent. This constitutes a race swap for the titular character.