In the Director's Cut, assuming the player has the maximum mental health score, and does a multitude of other things throughout the game, they will get a different ending, where the character walks down a hallway in the hospital while hiding from the girl in the blue dress, who appears to be infected and is crawling across the ground. It will still end with the man and the girl looking out to the city. A joke ending also exists, where the man dances at a party (which was likely a hallucination).
