The story of Martha Is Dead and its featured characters are a work of fiction, the game contains potentially uncomfortable scenes and covers topics that may distress some players. The game is recommended for an adult audience and carries the appropriate age rating. As an adult narrative drama, the game uses artistic interpretations that can be visually unsettling and may cause discomfort. It explores the complexities of the human mind, psychological trauma and self-harm. The game is not recommended for players who may find depictions of mature scenes containing blood, dismemberment, disfigurement of human bodies and self-harm disturbing.