2 instances. Both can be avoided. If you interact with the calendar in the room in which the Keymaster is, Edna mentions that miss September ate her dog. Just don't interact with the calendar to skip this. It's also not shown, just said.
If you use the therapy paper with the barman, he says he ate someone's dog. Again, just don't do that, it's not relevant to finish the game.
Peter might v* offscreen, he's just shown running to the bathroom. No noises or imagery.
However the word v* is used once in the game, just as an insult. No actual mentions of characters being or feeling s*
Putting this to yes just in case
Spoilers : At the end of the game Harvey gets fake flashbacks which show various kids getting tortured/murdered. One of these scenes is about a kid getting burned alive, however none of them actually happened in canon.
There are drinks mentioned in the game, however the only one you can get doesn't have alcohol in it (a lot of gross ingredients tho), so no alcohol abuse
Spoilers : In a fake flashback from Harvey at the end of the game, Mattis is shown to cut off arms and legs of a child. Gorey image.
The flashback however is fake and only in Harvey's imagination
Torturing methods from Doctor Marcel are mentioned.
Edna talks about some cruel games she played with Alfred when she was still a child.
Kids are getting tortured in Harvey's fake flashbacks at the end of the game
Spoilers : Ednas father died and it's talked about a lot.
Ednas mother is officially dead, but it'snever shown/mentioned ingame.
Babbit/Stiesel tells you that his father has died - you have to make a cruel joke about that to progress in the game
Edna is held against her will and it's never mentioned how she actually got to the asylum. Idk if that counts as kidnapping, I'll put it on yes just in case
The fart can be avoided. If you combine the fork and the dip in the bathroom w Petra in it, Edna farts. So just don't do that.
Edna spits out chewing gum, which is needed to proceed ingame. Not gross at all, no worries
To beat one of the puzzles you have to get electro shocks. It's only used to get further in the game, but it us mentioned that it's usually used in a harming way
Spoilers :
Both Edna and the Keymaster kill someone.
Edna always in "self defense", depending on how you see that.
The Keymaster is the only one who actually kills without " a good reason ", every other patient in the game is friendly :)
Harvey has an anxiety attack at the end of the game.
One character is in an constant state of anxiety, he's in the corner of the room leading to the lift system
Two characters, Hoti and Moti, believe to be Siamese twins, but they're not.
Enda mentioned she thought to have blonde hair, but I don't think that counts as dysmorphia
Edna ist put in a closet in one of the flashbacks. She's also locked in a basement. Another character gets locked up in a small room. After Edna knocks someone out, she puts him in a closet
None of the diagnosises the patients have are confirmed, besides Peter being depressed and suicidal.
There's a high chance some of the characters have PTSDr
If you use the therapy paper with the barman, he says he ate someone's dog. Again, just don't do that, it's not relevant to finish the game.