The core narrative and themes focus on the exploitation of creativity, the horrors of soulless replication (explicitly paralleling generative AI), and supernatural horror, with no identity politics, systemic oppression critiques, or social justice framing as the premise or driver. Estevez, carried over from the base game, is depicted as a lesbian with references to an ex-wife, making her sexuality a background trait rather than a focal point or statement.

No character creation, romance systems, pronoun options, or gender-swapped established characters appear. Remedy's prior Sweet Baby Inc. consultation was limited to the base game's Saga Anderson arc for narrative authenticity and explicitly denied as race-swapping motivation.

Minor audience commentary labels the female/lesbian lead 'woke,' but this does not alter the DLC's traditional horror storytelling or lack of activist messaging. The result is incidental progressive casting elements without narrative centrality.