While "Ad Vitam" features some diverse casting and leans into youth culture, the focus remains largely on world-building and philosophical questions about immortality. Characters are generally fleshed out, and identity traits rarely overshadow personal motivations or plot development. As a result, narrative integrity mostly holds up, with only minor concessions to modern casting trends.

The show questions traditional views on aging, generational roles, and mortality, sometimes casting family and religion as outdated or irrelevant. Masculinity/femininity aren’t heavily mocked, but there’s a clear challenge to older moral frameworks. While not aggressively subversive, it nudges cultural boundaries more than it reinforces them.

"Ad Vitam" generally avoids cartoonish villains representing traditional views and does allow for a spectrum of perspectives, especially among the immortal and youthful characters. Still, it never fully contemplates or defends more traditional worldviews, preferring a general sense of progressiveness and moral ambiguity.