Blood, child physical and sexual abuse and neglect, sexual assault, sleep paralysis, being haunted, disturbing imagery, reference to drug abuse, dealing with past child abuse by sexualizing it, gender dysphoria and transphobia, reality distortion, dissociation, an abusive friend/mentorship, strangulation. Also, a Pyrrhic defeat ending that isn't entirely satisfying, but I can't think of a better way it could have ended.