The creator Denny Truong based Olive's non-binary gender fluidity on their own identity. The game features a cast with multiple queer elements, including past boyfriends Angel and Patches, crushes such as Brownie on Coco, and both male and female love interests available via the relationship/favorability system that drives multiple endings focused on making characters happy.

VNDB and store tags prominently list LGBT/LGBTQ, and TV Tropes notes a 'Cast Full of Gay.' These elements shape character interactions, romance options, and player appeal in the dark comedy visual novel about surviving a zombie apocalypse at a birthday party while befriending others. The core premise remains survival, mystery-solving, and gore-filled choices rather than identity politics as the central conflict, keeping the representation noticeable but not foundational.