Adding to the game's theme of child abuse, The Doors' rendition of "Alabama Song" can also be heard, starting with the verse "Show me the way to the next little girl."

Included also are photographs of Lady Justice statues, Colombian footballer and murder victim Andrés Escobar, and political figures such as former UK Prime Minister Margaret Thatcher and former US President John F. Kennedy.

[8] The later "clone" of Sad Satan and its subsequent offshoots closely follow the gameplay template of the original, but display different, often far more graphic, sets of images.

In an interview with Kotaku, the channel's owner, identified as "Jamie", claimed to have downloaded the game from a Tor hidden service after receiving a tip from an anonymous subscriber.

[7] Later that month, users of the "/r/sadsatan" Reddit community uploaded a sanitized version of this build of the game, with all potentially illegal images and malware removed.

There has been speculation that the game was in fact created by the owner of Obscure Horror Corner as a hoax or attempted urban legend, in an effort to increase the channel's subscription count.