Psyche. Though much of the dialog and written messages could lead you, like myself, to believe Macfield is a closeted lesbian undergoing community/family abuse for her quiet obsessions with a girl…it’s actually the less common form of LGBT. Macfield is a closet trans woman; much of the game’s horrific bodily mutilation themes take a stand-in for the dysphoria of being uncomfortable in her own masculine body. Of course, many of the same types who’d retch at a gay protagonist would throw up at the idea of being someone they didn’t identify with - which ironically is exactly what the game is teaching you.