The film depicts extreme violence, including a scene where male victims are murdered and one is subsequently dressed in women's clothing for degradation. This act, presented without critique, contributes to a negative portrayal by associating queer-coded humiliation with horrific violence and dehumanization. The narrative offers no positive or affirming counterpoints to this problematic depiction.

The film includes a brief, brutal depiction of an implied trans woman as a victim of a serial killer. Her identity is not explored with dignity or complexity, serving primarily to highlight her vulnerability and the killers' depravity. The portrayal is dehumanizing, culminating in her violent murder, which contributes to a net negative impact regarding trans representation.

The film portrays family life as profoundly dysfunctional, abusive, and violent, completely subverting and critiquing traditional family norms through its depiction of extreme depravity, parental abuse, and the absence of any positive family structure or values.