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The game is known for its shocking twists, dark humor, and emotional depth. Despite its initial child-friendly introduction, Misfortune quickly finds herself exposed to shock humor, domestic abuse, death, and other heavy themes.

Misfortune carries a pouch of sparkle glitter. Players can throw glitter on objects, monsters, or depressing situations to make them "fabulous," unlocking hidden animations and achievements.

The Switch version supports multiple languages, including Japanese, English, Portuguese, Spanish, French, German, and Russian. It is rated for its mature content, including strong language, violence, and disturbing themes. The game also supports Save Data Cloud for Nintendo Switch Online subscribers and is playable in TV, Tabletop, and Handheld modes.