- Diagnosed by the Audience: Multiple characters in the book show signs of mental illness.
- Dawn's lack of empathy and sadism isn't normal.
- While it could be an effect of his abusive upbringing due to not being properly diagnosed with depression, Mason's mental health issues could be from a personality disorder.
- Mario's depression is never properly diagnosed, but it's implied that he may have mental issue beyond it (e.g., his lack of social skills, lack of empathy and inclination towards destructive behavior).
- Chao never speaks a word throughout the entire book and seems to have the same violent nature as Dawn.
- Chao's uncle's lack of empathy and enjoyment of violence.
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