The show is structured as a true-crime docuseries, largely sticking to real events and firsthand accounts rather than inserting heavy-handed identity politics or an obvious ideological slant. Any social commentary tends to emerge naturally from the subject matter. However, at times, certain narratives surrounding victimhood and psychological trauma are emphasized, occasionally feeling a bit tailored to contemporary sensibilities.

While there are some challenges to traditional family structures, given the nature of the story, it's a byproduct of Gypsy Rose’s real situation, not a forced ideological attack. The show does highlight the darker potentials of toxic familial relationships, but it doesn't go out of its way to demonize traditional institutions en masse.

There's some implicit critique of societal indifference and systemic failures, but alternative viewpoints on justice, personal responsibility, and family are somewhat explored through various interviewees. The series doesn't actively mock non-woke perspectives, but it does present a lens that aligns more closely with modern victimhood frameworks.