As a bisexual and transgender creator, River Kai specializes in LGBTQ+ Romance, Sci-Fi, and Fantasy with mental health and disability representation, creating stories for readers like him to see they're not alone. While he writes in multiple Romance sub-genres, his stories share three recurring themes: empowering character arcs about healing from trauma, authentic representation of transgender or bisexual main characters with depression, anxiety, PTSD, and OCD, and a sweet-but-spicy emphasis on consent.