The film features Concha, a male character who performs in drag as 'The Tattooed Woman' within a surreal circus. This portrayal is incidental, presenting the character as part of the ensemble of unusual acts. The narrative does not explore the character's gender identity in depth, nor does it offer an affirming or denigrating perspective on transsexual themes. The depiction primarily contributes to the film's overall bizarre aesthetic.

The film portrays a deeply dysfunctional and abusive family unit where traditional roles and parental authority are twisted into sources of profound trauma. The narrative strongly critiques and subverts traditional family values by depicting their grotesque breakdown and destructive consequences.

The film portrays a fanatical, violent, and manipulative cult that heavily draws on Christian iconography and themes. Its practices are depicted as psychologically damaging and oppressive, with the narrative condemning the extremism and its destructive impact on individuals.