Lets be honest if this was a triple A game it would never be released the pitch would go something like
Edmund:Okay so in my game you play as a naked seven year old child who cries on enemies to kill them
Executive:What kind of enemies?
Edmund:Oh yknow basic stuff like flies,mutated children who are always in pain and crying,anuses that emerge from the ground and spit out golden wasps that swarm at you
Executive:and the bosses?
Edmund:more basic stuff such as a maggot trapped inside a cyst,your own mother,angels and satan
Executive:and for characters?
Edmund:all of them will be bible related
Executive:presses button* uhhh security we have a complete psychopath here send your best men