The film features significant LGBTQ+ elements, including a character who identifies as lesbian and another who frequently cross-dresses. While depicting genuine love and complex character arcs, the narrative's resolution for the lesbian character involves a shift to heterosexuality, and cross-dressing is primarily a plot device, leading to a portrayal that neither strongly affirms nor denigrates LGBTQ+ identities.

The film features Koike, a transsexual woman, as the primary antagonist and manipulative leader of a cult. Her trans identity is revealed as part of a traumatic past that fuels her villainous actions and desire for revenge. This portrayal associates trans identity with extreme negativity and harm, offering no positive or affirming counterbalance, thus resulting in a problematic depiction.

The film features Yoko, a highly skilled martial artist, who demonstrates her combat prowess by physically overcoming multiple male opponents in close-quarters engagements, relying on her skill and strength.

The film portrays a specific, extreme, and rigid interpretation of Catholicism through Yu's priest father, depicting it as a source of immense psychological trauma and leading to destructive behaviors. There is no counterbalancing positive portrayal of the faith within the narrative, focusing instead on the negative consequences of this extreme application.