The narrative draws from Shakespearean tragedy reframed as ultra-violent sci-fi action, with Romeo using swords, guns, and blood-absorbing 'Bloody Summer' attacks against zombie hordes and bosses. Family members including his grandfather Benjamin (a time-traveling scientist mentor), mother (who cooks stat buffs), and sister appear in the spaceship hub, supporting traditional relational dynamics without identity-focused arcs.

The core premise revolves around heterosexual romance turned tragic duty, with Romeo required to kill Juliet variants, featuring no gender-agnostic systems, pronoun selection, or queer focal characters. Suda51 and Grasshopper Manufacture deliver satirical, edgy villains such as an unrepentant Confederate soldier rant alongside over-the-top violence as creative expression rather than activist messaging. Developer statements emphasize refusing to 'pump the brakes' on extreme content, with no character creation, DEI consultancy involvement, localization changes, or creator intent tied to social justice. Incidental diversity remains organic and non-central, allowing the game to prioritize violent action and family support structures over any progressive thematic overlay.