Rating issues
This game features scenes of bullying as the central character has things thrown at her and dropped onto her. While she is not physically harmed, her reactions are realistic and she does fall down.
During the main part of gameplay, the player’s character must avoid making eye contact with evil spirits. As a result, the character spends much of the game with her hands over her eyes, reducing her field of view. Instead, she relies on the beating of her heart to indicate the presence of monsters. The closer the monsters come, the more intense her heartbeat and the more dramatic the sound effects, which create a sense of dread. If the character is touched by the spirits, blood appears on the screen and she is transported to the previous save point.
Other issues
There is also use of the terms ‘damn’ and ‘hell’.