I'm not entirely sure??? A lot of meat is consumed by the player over the course of the game, but with this symbolism and just how eager the farmer is to call literal humans "dogs" and "horses", I don't know if the meat served is from a literal farm animal.
Syringes are used to inject things into peoples' bodies that should absolutely never be injected into them. This is depicted and the player must partake in administering these.
A projector rolling sound is present throughout the entire game. Additionally, one scene with the player discarding a human body has a fly buzzing sound accompany it.
The sexual objectification horror has BDSM imagery. Namely, metal bolted collars and a chastity belt in one person's case. In the other cases, characters are shown restrained to tables and X-crosses.
The main character is consistently being told to accept the notion of slavery by multiple people treating it as a totally normal thing under the guise that they are no longer actual humans.
There is an extremely detailed scene in which a character's p***s is removed and the resulting hole is sealed. It is absolutely not for the faint of heart.