At the beginning of the game, one of the two central characters, Tyler, has been living in a rehabilitation centre for many years after taking responsibility for the death of a family member. As the twins investigate their pasts and come to terms with their loss, there are frequent references to sexuality and gender, including in the context of flashbacks to their childhoods. These include discussions of Tyler’s transition from female to male and how the twins’ family responded to this. These discussions, which include references to LGBTQ ‘conversion’, play a key role in the events leading up to the death of the family member in question. The death itself is implied, although not explicitly depicted.