- Alternative Character Interpretation:
- Did Saotome really did post Misao's love poem?. Or Misao was assuming the worst of her simply because Tohma was two-timing her with Saotome?
- Tohma is so all over the place about whether or not he actually returned the feelings of anyone who expressed interest in him that it's difficult to tell when, if at all, his feelings are true. Also, given how distraught he was when learning of just how much Misao had been through, coupled with apologizing to her in his sleep when you kill him on the bad ending route, it's difficult to place just how much of a bastard he truly is.
- Angst? What Angst?: Aki takes most of what she endures in the other world with a surprising amount of grace. While honestly upset by some of the deaths, she even laughs about not being able to prevent Yoshino's brutal death by chainsawing and is delighted when she finds Misao's corpse parts (compared to her male counterpart who's understably horrified by finding Misao's corpse).
- Which may be due to being Not Quite Human.
- Epileptic Trees:
- Miss Library is believed by many to be the clone of Aya Drevis that appears in the True Ending. She mentions having a Mad Scientist father and that his experiments are so gruesome that she doesn't like hamburgers anymore (hamburgers are Aya's Trademark Favorite Food). One of the books in the library contains a Whole Plot Reference to Mad Father, and the one visual trait that Library doesn't share with Aya is her glasses.
- The Mad Scientist who kills Yoshino with a chainsaw is implied to be Dr. Drevis (Aya's father) as well.
- Fan-Preferred Couple: More people lean towards Kudoh/Misao. This may be because they're both Childhood Friends and Kudoh expresses remorse for abandoning her. That, along with his Anguished Declaration of Love when she kills him.
- Moral Event Horizon: Sohta tried to rape Misao and then killed her afterwards, and kept her severed hands. All this, plus the later murder of Ayaka, can make the game's attempts to make the player sympathize with him come off as forced.
- Yoshino not only horrifically bullied Misao, she blackmailed another student into raping her. All because she was jealous of Tohma's relationship with her.
- Narm: Lots of potentially creepy deaths are ruined by the default death animation (Aki laying on the ground in a pool of her own blood).
- One death is caused by, of all things, Aki being startled by a ringing phone and smacking her head against the wall so hard that she dies.
- One of the scenes has Aki expressing regret for not being able to save a character while keeping a big smile on her face. (Possibly intentional though, as the definitive edition makes it much more obvious that it's less the limited facial expressions and more just plain mocking her.)
- Squick: Hiding inside of a corpse.
- It's replaced with a bear costume in the Definitive Edition, but it's still full of blood and organs. Hang on, this IS a costume...right?
- Unintentionally Unsympathetic: The game sure does try to make you like Sohta towards the end... after already revealing that he's a murdering rapist.
- The Woobie: Misao. Any hope she had to be happy was cruelly yanked away, one way or another.
YMMV / Misao