Why is the ad so diffrent from the game??? why isnt the suicide or death included it looks so peacefull

so the bread is her arm 

the racoon is self harm

the knife a blade 

monika understand its all a game even in the first run hence the "load me" and "save me" (because for me after reading the save me title the save button flashed) in her second poem

DON'T FORGET TO SAVE YOUR GAME~ Monika

lol