This book depicts and discusses themes that may be triggering to some readers, including graphic gore, graphic violence (includes a character cutting their own arm), PTSD and suicidal thoughts (side character), kidnapping, alcohol consumption, fear of sexual assault (from a side character), and recollections of bullying and name-calling (includes use of the word "psycho").

This story contains graphic sexual content, including Dominant/submissive dynamics, sex without a condom, body worship, impact play, light pain play, injuries sustained during consensual sex, and public sex.