The game presents a moral dilemma similar to the trolley problem. The player's choice to divert the train to save the woman and sacrifice the man and his dogs is a key decision point. The game's subtitles may contain minor discrepancies with the visual content (e.g., mentioning a 'dog's leg' when a woman's leg is stuck).
The game highlights the consequences of choices in moral dilemmas. Consider the immediate rewards (money from the woman) versus the emotional or ethical implications of sacrificing others. The game designers seem to reward the 'selfish' choice in this particular level.