Jerkass Woobie: Edna. No doubt she bullied Alfred when she was a kid, but her behavior was common in children and had a chance of changing her ways when she grew up. It's easy to feel sorry for her after what Dr. Marcell has put her through for ten years. And after the last memory scene, she clearly is shocked and remorseful over killing Alfred.
Most Annoying Sound: Alfred's voice sounds nothing like a boy's voice. It makes even certain people not like him as much as they think they want to.
Tear Jerker: No matter what choice you make, neither of the endings conclude on a happy note for the main characters. If you choose Marcel, Harvey is killed and Edna is successfully Mind Raped into becoming another Alfred. If you choose Harvey, history repeats as Edna knocks Doctor Marcel down the stairs just as she did to Alfred all those years ago. Afterwords, Edna is never heard from again, the narration subtly implying she may have committed suicide.
The first release got no age restriction in Germany. The designer was rather unhappy about this, since it meant that the game frequently ended up on the kiddie game shelves, despite the fact that it's content and humor would be above the heads of most kids. For the Special Edition, developer's commentaries were recorded in which the developer swore a lot, said "fuck" a couple of times completely non-sequitur and names masturbating as an option to spend an afternoon. He succeeded: the Special Edition has an age 12 and above restriction.