While 'Pet Sematary: Bloodlines' does introduce a more diverse cast compared to previous adaptations, identity appears to be layered atop traditional horror tropes rather than completely taking over the narrative. The storyline still sticks largely to the established Pet Sematary formula, though some character choices feel more ideological than organic.

There’s a noticeable shift in tone regarding traditional family dynamics and masculinity; however, it doesn’t aggressively ridicule these themes. Some moments may feel more modernized, but the focus remains horror rather than a full rejection of classic cultural touchstones.

Alternative worldviews and traditional perspectives are mostly sidelined or lightly caricatured, but the film stops short of outright demonizing them. The majority of characters share similar assumptions about identity and morality, with little debate or plurality in viewpoints.