A male main villain has multiple lines of dialogue referring to the sexual abuse he experienced as a child. The same villain has multiple lines of dialogue referring to how he'll sexually assault the player character if he catches them (though if he catches the player he will only kill them via electrocution). There are multiple mannequins left in poses that resemble graphic sexual violence. There are multiple corpses that have been left with clear signs of sexual mutilation. Multiple NPCs in the game refer to either committing sexual assault or having been a victim of sexual assault. Another male villain is obsessed with the idea of pregnancy. He frequently refers to the idea of mutilating the player character's abdomen so he can crawl in and be "born again". A female main villain commits graphic sexual mutilation of a male NPC in a hallucination cutscene.