The core premise and themes function as classic dystopian satire on drug culture, conformity, and historical denial, drawing directly from inspirations like Brave New World and prescription drug trends as noted in developer statements, with no contemporary social justice elements introduced. This approach keeps the narrative focused on memory, trauma, survival, and rebellion against societal denial rather than injecting modern ideological framing. The three playable protagonists—Arthur Hastings, a male censor; Sally Boyle, a female chemist and secret mother; and Ollie Starkey, a male veteran—pursue personal escapes through interconnected stories that follow traditional gender roles and setting-appropriate casting with no race or gender swaps of established figures or forced diversity mandates.

Heterosexual dynamics, such as Arthur and Sally's past crush, along with Sally's coerced backstory involving Arthur's father, drive character arcs organically within the setting's lore. Minor DLC elements like the same-sex couple Roger and James and Sally's motherhood subplot remain incidental to the main narrative, lacking activist intent, pronoun customization, DEI consultancy, or creator activism statements.