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  • Ambiguous Gender: The short-haired Kaibutsu models have been interpreted as both male and female, due to the ambiguity of their sprites. However, the twintail model is almost always interpreted as female.
  • Demonic Spiders: The Kaibutsu, which are pale white-haired figures resembling schoolchildren with bleeding faces. Usually they simply wander around, minding their own business, but then if you smack them with the steel pipe, they become enraged and chase you. Touching them teleports you to inescapable areas. Some of them don't need to be smacked to be enraged, since they already are. Luckily, you can avoid them by using the ghost effect's invisibility, but touching them still teleports you away.
  • Crack Ship: Sabitsuki is sometimes shipped with the Kaibutsu.
  • Ear Worm: Many of the songs, scary or not, but especially Shinsoku Neko's music.
  • Ensemble Darkhorse: Quite a few characters, such as Oreko, Smile and Sister, and the Kaibutsu. Sabitsuki herself is very popular, not unlike Madotsuki and Urotsuki of the other games.
  • Fan-Preferred Couple: Sabitsuki is very often shipped with Smile.
  • Fridge Horror: As you continue through the game... things start to connect in horrifying ways.
    • Just what are the Kaibutsu? And why does one kind look very suspiciously like Sabitsuki?
    • In the school, Smile can be found in a room with posters of bleeding eyes. Take a closer look at his eyes...
  • Goddamn Bats: The red demons. Though they only appear in one part of the game — specifically, the Womb Level near to where you get the Viscera effect — they nastily disable your effects upon contact, not to mention there are a lot of them in said area. In the endgame, though, they become even worse. They're just about everywhere at this point in the game, they slowly wear Rust down, move erratically, and have an annoying habit of speeding up when they have a clear path to Rust. On the other hand, they make certain spots that normally had Kaibutsu easier as they replace a lot of them, meaning Rust can just tank the damage and move on. Except that if you touch too many, you explode in a bloody mess!
  • Les Yay: Some of Oreko's interactions with Sabitsuki, as well as the existence of the Friendship Meter, are interpreted as this.
  • Nausea Fuel: All over the place. The deeper levels of the body area, the Viscera effect, the Dying Girls and Bloody Room events are a few of the most prominent examples.
  • Nightmare Fuel: Has its own page.
  • Squick: Some theories speculate that the Sugar Hole's cake is made out of human flesh.
  • Tear Jerker
    • The Orange Menu is obtained from a ghostly Oreko in an area where melancholic music plays, implying that Oreko died at some point, but still wants to help in anyway she can.
    • In the children's hospital, you can find a younger version of Sabitsuki. She's bedridden and attached to an IV. If you level up the Corruption Meter, her condition deteriorates and more wounds appear on her body until she looks inhuman.
  • Viewer Gender Confusion: Oreko and Sabitsuki are sometimes mistaken as male.

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