A major death in Chapter 1 is focused on someone being sliced to pieces. Another major death in Chapter 5 features a CG where the body has visible visible. There is also a fight in Chapter 5 that features a fight with someone who wields a knife. Several people cut their palms in Chapter 6.
Many children died in the past as part of a major plot point. The protagonist has a reoccurring nightmare where a young girl dies. Some teenagers die throughout the story.
A character who is a wheelchair user is made to feel responsible for the deaths of others due to their disability during Chapter 4. The same character gets put into a vulnerable position during a Residual Thought in Chapter 3.