Rating issues
This game contains strong violence towards human-like characters. Though the majority of the game is a still image visual novel, there are a couple of cutscenes that are animated. One of those cutscenes shows the player character’s perspective, stabbing a woman multiple times in the abdomen. Blood can be seen on her shirt, but the scene cuts away before any further detail is seen. There is one sequence in the game where players fight in first person against a human woman. The combat is turn-based and consists of players dodging or attacking. On a successful attack, the woman flashes briefly and her health bar depletes. Most violence during the rest of the game is implied through text.
Other issues
In this game, there are sustained themes relating to cannibalism, children being murdered, rotting corpses, paranormal entities, as well as some jump scares of scary faces or noises. There are also some images that show a human-like character with his limbs amputated. Bloody bandages cover the wounds.