The '90 Day Fiancé' franchise has featured LGBTQ+ couples, portraying their relationships with dignity and complexity. Storylines have explored challenges like family acceptance, framing them as external obstacles rather than inherent flaws of queer identity. The overall depiction affirms the worth of LGBTQ+ lives and love, despite some relationships facing typical reality TV drama and personal incompatibilities.

The show features Gabe Pabon, a trans man, whose storyline focuses on his relationship and the challenges of gaining acceptance from his partner's family. His portrayal emphasizes his dignity, complexity, and agency, with obstacles framed as external societal views rather than inherent to his identity. The narrative generally offers an empathetic and affirming perspective on his life and love.

Islam is often portrayed as a deeply personal and cultural identity for many cast members. While interfaith relationships present challenges, the show generally depicts Muslim characters and their practices with respect, highlighting their devotion and family values without demonizing the religion.