The film features a character whose arc explores themes of gender identity and self-acceptance. This character's internal struggle to embrace their true self is depicted with dignity. The narrative frames the journey of self-discovery positively, affirming the worth of their identity despite external tragedies.

The film features Chihiro Fujisaki, a character assigned male at birth who presents as female due to insecurity about physical weakness. The narrative frames this presentation as a coping mechanism rather than an expression of gender identity, treating it as a secret and a source of vulnerability. This portrayal conflates gender expression with personal insecurity, resulting in a problematic depiction.

The series focuses on high school students isolated in a deadly game, with no depiction or commentary on traditional family units, roles, or values. The narrative contains no meaningful family content to evaluate against established norms.