Emily Hartwood functions as a capable female lead whose arc is grounded in the story's family curse and her uncle's disappearance, along with grief over her husband's death and the Hartwood melancholy framed as generational trauma and mental health struggles. This setup avoids any race or gender swaps of established characters and includes no pronoun customization options. Supporting character Ruth Tallant receives an 'ambiguously bi' label tied to a period-appropriate 'sexual deviant' file, yet this remains incidental and does not drive the narrative.

The title shows no Sweet Baby Inc. or DEI consultancy involvement, no central queer romance, and no systemic oppression lectures. The store description's reference to escaping 'past traumas and an intolerant society' adds only a mild modern gloss on asylum stigma and 1930s norms, remaining secondary to the eldritch horror and personal redemption focus. Overall the game keeps ideological elements minimal and subordinate to its core horror premise.