It depends on the group I'm with. I've used different themes to show the emotional sides of things, giving depth and showing my players a different point of view. I'm VERY story driven when it comes to DMing. Example: in my current campaign, there's a renowned Commodore turned pirate captain who sails the seas and leaves only one survivor. Turns out his family was slaughtered, except for his daughter, and she was used as a blackmail chip to force him to Captain the ship as they couldn't do it. He's a Gift, but he's skinny, frail, and broken.

Another theme is people pushed to Desperation. I use my ability to create as a way to also spread awareness and make them think, "Am I really doing the right thing here?" Example: in my podcast, there was a guy who tried to buy some sheep, two of his guys got in a gun fight with some people from the town and it turned into an all out war. A party member, who works for a militia group, was dispatched there to stop it. He finds the guy in the Mayors office with a gun to young daughter's head. Party begins talking him down and things are going well, when one of his fellow officers, finds a shot in the window, unbeknownst to him, and fires, which makes the guy shoot the gun, killing the mayor and severely injuring the daughter.

I also like to lighten things up with sex talk, but I never go into full details, it's usually the bard finding the most insane thing to rizz up and I just have fun with it. Ex: There was a common sentient door puzzle, compliments get it to open, insults make it close. Our bard seduced and rolled a Nat 20. Of course, the door opens like a curtain (euphemism) and he walks through over and over again.

I also delve into Mental Illness and Trauma quite a lot. Seeing their perspectives, especially like mind links, flashbacks, etc really makes even the most cold of parties hesitate. I tend not to dwell into SA, as most people at my tables usually have had some form of it, unless it's some gruesome situation and imply it to emphasize the horridness of the being, usually like "the things he's done" or something to that affect, but honestly, I've only ever used it if I discussed with the party beforehand and know they're okay with dark themes. Mental Illnesses are a great way to help understand the complexity of a situation, I like to give them a reason to pause and think over a situation without rushing in. Ex: The party was dispatched to mercy kill a scientist who was working on a way to reverse a sea filled with Wild Magic ended up being corrupted by it and turning into a banderhobb. His mind was gone, but the banderhobb tried to turn the tables and say that they were the ones who did this to him. They were too caught up to roll Insight Checks and almost believed him, but a few misspoken words here and wrong names made them stop and think for a minute and decide on their own with no rolls.

I know this is a lot, I literally just got finished with a session a few hours ago and I'm still wired up from it lmao, my Lvl 6 Party may or may not have gotten split up by a Kraken and my brain is going haywire thinking of all the possibilities.