Conversation so far:
who are some of the characters?
Ed is imprisoned when he finds hospital janitor Chet Doodley's severed hand.
what is the setting of the story?
CANNOTANSWER.
what are aspects of the story that contain Reagan?
the head of his penis replaced with the head of a miniature Ronald Reagan from Dimension X.
what are some other notable elements in the summary?
Penis-worshipping, rat-eating pygmy cannibals drag the bodies of both Josie and Ed into the sewers.
what are elements of canibalism?
Penis-worshipping, rat-eating pygmy cannibals.

Question: what other elements of sexuality were described?
Self-contained rewrite: Besides replacing head of a penis and penis-worshipping cannibals, what other elements of sexuality were described in Ed the Happy Clown Summary?