Season 11 Ep... - Fire Islandamerican Horror Story :

Despite the literal killer being dead, the menacing, leather-clad figure "Big Daddy" follows the group to the island. This figure is confirmed to be a metaphorical manifestation of the virus and impending death.

Sam drugs Theo and ties him to a tree in the "Meat Rack" (a famous cruising area), offering him to Henry in a twisted act of revenge. Fire IslandAmerican Horror Story : Season 11 Ep...

Theo is visibly ill, displaying physical symptoms—later revealed to be HIV/AIDS—that he and others dismiss as minor infections or seasickness. Despite the literal killer being dead, the menacing,