In "One Flew Over the Cuckoo's Nest," Ken Kesey presents a vivid portrayal of a mental institution that resembles a surreal cartoon landscape. The characters within this setting appear as exaggerated, almost two-dimensional figures reminiscent of comic book art. This creates an ironic contrast between the cartoonish world and the harsh reality faced by the patients, who are actually complex human beings struggling with their identities and mental health.

The humor and absurdity found within this setting underline the seriousness of the characters' experiences. The story becomes a poignant commentary on societal norms and the treatment of those deemed 'different.' While the narrative has the potential for comedic moments, it is ultimately a reflection of the profound challenges faced by real individuals trapped within a system that often overlooks their humanity.