A story about unblissful revenge. A sea of hatred with some islands of love, but those islands are in the middle of nowhere: this is what this manga is. It's also about kids being severely bullied, or in messed up families, or with broken dreams. The manga is a sad story where if someone does an inhuman and horrible thing, the victim doesn't rise above the hatred, but succumbs into it. It's an endless cycle of hatred in an unrealistic world where people are their worst thoughts. Imagine the worst thoughts one can have, and actually incorporate them into the actions of an individual, and you get what some of these characters did. Their actions are horrible and only making them become more miserable. It is a Hinamizawa small town of bullying and victims that eventually become bullies. There's no ray of hope for anyone, everyone joins the vicious cycle and gives in to the fear and anger provoked by their traumas that come from bullying or domestic abuse.

The only redeeming quality is the fact that "Misu Misou" actually succeeds in transmitting the feelings of being a victim and of becoming a perpetrator. It's too bad that it lacks the realism element due to the insane actions that are happening. The incredibly cruel and numerous deeds that are happening in such short spans of time would exist only in the imagination. And realism is necessary here since everything is about the real problems of bullying and domestic abuse. The art style very beautifully grounds the dark nature of this manga, characters may have some creepy body proportions and sillhouetes, which again reflects the creepiness of the world, a good thing overall.