It is occasionally mentioned that a main character sleeps with another character only when he himself is drunk and later claims not to remember. It is unclear whether this is true, but the first assumes he is lying. A character fantasizes about choking and raping a female character (this is only mentioned and not described in detail) in a moment if light-headedness. A major plot point in the last third of the book is the incestuous relationship between a twin brother and sister: they kiss in a sexual way and the brother eventually becomes physically abusive toward the sister (which is not shown, only the aftermath, i.e. bruises/injuries).