

Courts of Torment's Japanese name is Narakumon (奈落門), which literally translates to "Hell Gate" or "Gates of Hell".This theme of Buddhism is continued with several of Black Okame's stage names: Hannya's Japanese description mentions that she consumes the souls of those who cannot gain enlightenment, with the term used, jōbutsu (成仏) specifically referring to attaining Buddhahood.It consists of the kanji for "ego" or "self-assertion" (我) and "king" (王). The word Gaō in Black Okame's Japanese name, Okame Gaō (阿亀我王), doesn't mean anything on its own and is just a pun on kao (顔), meaning "face", though it can rarely also be a person's name.As a symbol of innocent maidenhood, Black Okame represents the virtue of chastity amongst the Tier 2 Advent Bosses.

Where Hannya's mask is a symbol of bitterness and jealousy, Okame's represents felicity and blessings.

Black Okame can be seen as a foil to Hannya.An Okame or Otafuku is a mask used in Kyōgen theater to represent a positive female and good luck-bringer being the distaff counterpart to Hyottoko.
