** [[spoiler:Salvadore's HeroicSacrifice. This happens ''after'' Charlotte kills herself, and to add icing to the cake, Dr. Money taunts you about his death]].
** Finding out about Mr. Smiley's backstory. [[spoiler:He was forced to be your Happy Buddy because Dr. Money kidnapped his daughters. He then reveals to you that they recently died and he never got to say goodbye. Mr. Smiley, [[DespairEventHorizon having lost all hope]], decides to sell all of his organs for money, knowing he'll die. He then tells you, with no emotion whatsoever, "Goodbye," and you never hear from him again]].
** The ending. Even if [[spoiler:you leave the cell, you walk outside the building and find Charlotte's bakery, with blood everywhere and a suicide note. While [[BittersweetEnding the game does end on a somewhat bright note]], it doesn't change the fact that the only three people you've been talking to (excluding Dr. Money), are now dead. And it's heavily implied that you're one of the last survivors ''on the entire planet''.]]
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