'''General Tropes'''
* DesignatedEvil: Esther's mercy-killing of the accidentally, mortally wounded bird, is presented as a cruel/heinous act.
* HilariousInHindsight: Heh, [[JonAndKatePlusEight a dysfunctional couple named John and Kate.]]
* ItWasHisSled: Esther being a [[spoiler: 33 year old dwarf]] will catch on even if people haven't seen the movie thanks to the internet.
* JerkassWoobie: Danny.
* {{Narm}} : John's crying jag.
** The plaque and incredibly [[{{Glurge}} Glurgy]] poem dedicated to Jessica.
* ParanoiaFuel
* RootingForTheEmpire: It's easy to root for Esther despite the fact she's batshit insane because A) She's a MagnificentBastard and B) Isabelle Fuhrman's performance. Not to mention most of the protagonists- except for maybe [[CuteMute Max]] come off as whiny and annoying to some.
* {{Squick}}: When Esther [[spoiler:tries to seduce John in a cocktail dress]].
** Esther breaking her own arm, especially as the bone very visibly pops out. The fact that it's the ''only'' scene where she shows any real weakness or pain somehow makes it worse.
** The entirety of Kate's NightmareSequence.
** This film's use of blacklights.
** Sister Abigail's murder. When the police find her body, her face has been reduced to mush.
* UnfortunateImplication: The film was severely [[http://www.thedailybeast.com/articles/2009/07/15/demon-orphan.html criticized]] for its stereotypical portrayal of older adopted children, calling it cliche for portraying them as violent and cruel.
* VillainHasAPoint: Esther calling out Kate on how she doesn't deserve her family does have merit, considering Max almost died because Kate got piss drunk and drove the car into the lake and how she and Jon pretty much do nothing but spoil Daniel.
* WhatAnIdiot: Kate, Kate, Kate! Yes, when you're already looking suspicious and like a lunatic, why not buy some wine and then try hiding it somewhere obvious? [[SarcasmMode People won't think you're relapsing at all!]] Plus when Jon and the therapist confront Kate, she starts crying and whining that her children are the only reason she's sober and that she wants to kill herself when she thinks about what happened to Max. Jon points out how manipulative this sounds and it only makes her look desperate and crazy.
* TheWoobie: Both Kate and Max definitely qualify.

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'''Tropes that concern Esther''' ([[spoiler:'''Or better said, Leena Klammer''']]). '''Spoilers dead ahead!!'''
* AlternateCharacterInterpretation: Psychotic homewrecker, or abused, mentally broken girl who [[IJustWantToBeLoved just wants to be genuinely loved for once?]]
** Even extends to her attempt at [[spoiler: seduction.]] [[spoiler: She's in the age range for MyBiologicalClockIsTicking but CantHaveSexEver thanks to [[NotGrowingUpSucks looking like a]] [[{{Lolicon}} 9-year-old]].]] Probably gets a ''little'' frustrating.
* CompleteMonster: [[TheFakeCutie Esther]] is adopted by the Coleman family after their newest child is stillborn. Esther pushes a bully off a slide causing her to break her ankle, tries to play RussianRoulette with the [[WouldHurtAChild young daughter Max]], [[DropTheHammer kills a nun who is suspicious of her]], threatens to [[GroinAttack castrate the family's son Daniel]] if he tells anyone about what he saw, [[KickTheDog reads a page describing how the mother Kate's latest child was stillborn to her out loud (and presents Kate with the stillborn kid's dedication bouquet as a "gift")]], and tries to cause a rift in Kate's marriage with John. When Daniel attempts to retrieve evidence proving Esther killed the nun, Esther sets the place on fire to try and kill him, and [[SickbedSlaying later tries to smother him at the hospital]]. It's later revealed that Esther is a [[spoiler:dwarf posing as a child, is really named Leena Klammer]], and killed two previous families that adopted her after failing to seduce the father, and was planning to kill the rest of the family to have John to herself. When John refuses her advances, she kills him and attempts to kill Max when she sees this. When Kate and Esther fall into a frozen lake and Kate manages to pull herself out, Esther [[VillainsWantMercy begs Kate to save her]] yet has a knife behind her back [[UngratefulBastard clearly intending to murder Kate if she decided to rescue her]].
* HilariousInHindsight: An episode of WesternAnimation/DrKatzProfessionalTherapist had Dr. Katz and his son [[spoiler: humorously discuss horror movies where the killers were midgets. Titles (to the best of my memory) included "I'm Short, But You're Dead" and "Don't Step On My Toes, Or I'll Kill You!"]]