If Carcass isn't killed and/or the doctor isn't given the gun, Simon will commit suicide after finishing his book, unlocking the eighth chapter. Receiving treatment from Doctor Purnell (who was the doctor seen throughout the game) and being regularly visited by Sophie, he finds himself at peace and finishes his book, saying that it has changed his life. Doctors testify that Simon had a psychotic episode, and he's transferred to a mental hospital. Real Simon manages to defeat Book Simon, ending the nightmare sequence and triggering the 4th ending where two police officers enter his apartment to stop him from committing suicide. The real Simon (still confined to the wheelchair) follows Book Simon into another nightmarish world. The Simon controlled throughout the game is a depiction of the Real Simon who combats the trauma of his mind. At this point the player realizes that the events in Cry of Fear are nothing more than a metaphor of Simon's book therapy. If Carcass was killed and the doctor was given the gun, Simon finishes his book and prepares to commit suicide, but he is interrupted by an evil counterpart, Book Simon, who opens the door of his apartment and disappears. The doctor tells Simon that the medication will not help him by itself, and recommends that Simon try a cognitive therapy, asking him to write a book about his feelings and anxiety. He then has a flashback of the doctor talking to Simon (who is confined to a wheelchair as a result of the accident). If given the gun, the doctor turns on Simon and the two of them fight, with Simon emerging victorious.

The player is given the option to choose whether or not to fight and kill Carcass, as well as whether or not to help the doctor by giving him a gun. Along the way, he meets a cryptic and violent doctor who says he can't trust Simon, and a childhood friend and love interest named Sophie, who commits suicide at the will of a creature named Carcass. He also receives flashbacks telling the story of what happened after the accident, from the police response to the resulting hospital stay. Much of his time is spent exploring and fighting off crazed, deformed humanoid creatures. The story begins in a dark and gloomy city of Sweden, with Simon waking up in an alley after being struck by a car while trying to help a wounded man. This movie is like The Girl with The Dragon Tattoo with Rooney Mara but more intense NO UWE BOLL ALLOWED! Pick a very good director! Rated R Cry of Fear's story spans 7-8 chapters, depending on the player's actions. Cry For Fear by Team Psykskallar and Columbia

Carcass cry of fear