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I've taken some time to process Shibethany's Elden Ring stream.
It was the only possible backstory for abusers and bullies: victims turn into new perpetrators, create victims, and the cycle of abuse goes on.
My reading is that this happened while Madam felt regret over neglecting her duties, returning to her Christian roots: self-punishment. She created a stage for said punishment. The sniffling was, if not out of allergies, because of her guilt and chat asking the questions physicians, policemen, teachers, friends ask.
Do you ask: "How does your mom dress before going to work?" if she's not suspicious?
It's in this sense, and the stream being unscripted, that the experience was realistic enough, even while fetishized by the characters and (part of the) audience.
At some point Shibethany asked if chat was feeling uncomfortable.
Anon asked how real shit's getting. Mercy's cage RP and Madam Shibi's Twitter space were wake up calls: not even 1.5 months in and things are escalating.
tl;dr - pic related