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174 ratings
Endings Guide
By bigmanjapan
Guide to three endings (A, B and C) based on correlation between tendency events and skull count.
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Created by
bigmanjapan
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Category: Walkthroughs
Languages: English
Posted
Updated
18 Feb, 2016 @ 2:13pm
13 Jun, 2021 @ 3:21pm
5,009 Unique Visitors
160 Current Favorites
Guide Index
Overview
Ending A 
Ending B 
Ending C 
Comments
Ending A
From the very beginning of the game a player's skull count is 27/27.
To achieve this ending the final skull count should be between 1 and 26.

Simply use the table provided in "Ending B" or "Ending C" sections of this guide to lose at least one skull on any tendency event of your liking.
Ending B
From the very beginning of the game a player's skull count is 27/27.
To achieve Ending B the final skull count should be 27.

For this ending it's necessary to read three parts of the letter. If you try to go for this ending and have 27 skulls but didn't read the letter completely, then upon transitioning from the room where Joe talks to his father to operation room the game will subtract one skull from your total skull count (making it 26). Reading the letter won't trigger this event and you will keep all 27 skulls til the end.

Do NOT make listed tendency event choices in order to keep skulls.

Tendency event (TE)
Number of skulls to keep
Number of TE points
TE choices NOT to make in order to keep skulls
1.
Conversation with Ivy in dining room
1
1 out of 4
2. I knew you'd ruin it…. You always ruin EVERYTHING!
1
2 out of 4
2. You're acting like a ♥♥♥♥♥♥♥ psycho!!!
1
3 out of 4
2.A shapest knife would break hitting that frozen lump of ice.
1
4 out of 4
1.Yeah. You, losing your ♥♥♥♥♥♥♥ mind, for one.
2.
Conversation with Ivy in room 101
1
1 out of 3
3. I hope you had fun playing psycho ♥♥♥♥♥ in front of that woman.
1
2 out of 3
3. Are you done? I've had enough of this ♥♥♥♥.
3
3 out of 3
1. Fine. I'll say it. We're finished.
3.
Conversation with Doctor Z
1
1 out of 1
1. I'm not a dog, Go fetch it yourself.
4.
Giving injection to Sophie
1
1 out of 1
1. -GIVE INJECTION-
5.
Conversation between Joe and Ivy in bed scene
1
1 out of 3
2. Oh, not THAT ♥♥♥♥ again.
1
2 out of 3
2. I see. It's this self-conscious "I look too fat" business AGAIN.
3
3 out of 3
1. Just… Stop thinking about it, okay?
6.
Agnes: Interaction with Ivy in toilet maze
1
1 out of 1
1. Fine. Tell me where to go.
7.
Agnes: Blowing out a candle
1
1 out of 1
Blow out
8.
Conversation with Harisson
1
1 out of 1
3. A few more beers and I'm sure it won't matter.
9.
Defending Agnes from Harisson
1
1 out of 1
4. -SAY NOTHING-
10.
Conversation with manageress (4th floor)
1
1 out of 1
1. Yes.
11.
Conversation with Agnes (4th floor)
1
1 out of 1
2. This is none of your business.

(NB: This conversation will not be available if you chose "2. No" or "3. I don't know" in the conversation with manageress (4th floor))
12.
Conversation with manageress (bed scene)
1
1 out of 2
2. You're beautiful...
4
2 out of 2
Kill Agnes
Total
27
Ending C
For this ending it's not necessary to read three parts of the letter.
From the very beginning of the game a player's skull count is 27/27.
To achieve Ending C the final skull count should be 0.

Make listed tendency event choices in order to lose skulls.

Tendency event (TE)
Number of skulls to lose
Number of TE points
TE choices to make in order to lose skulls
1.
Conversation with Ivy in dining room
1
1 out of 4
2. I knew you'd ruin it…. You always ruin EVERYTHING!
1
2 out of 4
2. You're acting like a ♥♥♥♥♥♥♥ psycho!!!
1
3 out of 4
2.A shapest knife would break hitting that frozen lump of ice.
1
4 out of 4
1.Yeah. You, losing your ♥♥♥♥♥♥♥ mind, for one.
2.
Conversation with Ivy in room 101
1
1 out of 3
3. I hope you had fun playing psycho ♥♥♥♥♥ in front of that woman.
1
2 out of 3
3. Are you done? I've had enough of this ♥♥♥♥.
3
3 out of 3
1. Fine. I'll say it. We're finished.
3.
Conversation with Doctor Z
1
1 out of 1
1. I'm not a dog, Go fetch it yourself.
4.
Giving injection to Sophie
1
1 out of 1
1. -GIVE INJECTION-
5.
Conversation between Joe and Ivy in bed scene
1
1 out of 3
2. Oh, not THAT ♥♥♥♥ again.

(NB: Be sure to select "1. No, it's me being stupid." dialogue option next. It will make "2. I see. It's this self-conscious "I look too fat" business AGAIN." possible to select in the next choice.)
1
2 out of 3
2. I see. It's this self-conscious "I look too fat" business AGAIN.
3
3 out of 3
1. Just… Stop thinking about it, okay?
6.
Agnes: Interaction with Ivy in toilet maze
1
1 out of 1
1. Fine. Tell me where to go.
7.
Agnes: Blowing out a candle
1
1 out of 1
Blow out
8.
Conversation with Harisson
1
1 out of 1
3. A few more beers and I'm sure it won't matter.
9.
Defending Agnes from Harisson
1
1 out of 1
4. -SAY NOTHING-
10.
Conversation with manageress (4th floor)
1
1 out of 1
1. Yes.
11.
Conversation with Agnes (4th floor)
1
1 out of 1
2. This is none of your business.
12.
Conversation with manageress (bed scene)
1
1 out of 2
2. You're beautiful...
4
2 out of 2
Kill Agnes
Total
27
67 Comments
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Bananen-Joe 7 Nov, 2023 @ 12:31pm 
Thanks for the guide. However, my first 27/27 failed with 26/27 because I also tried to get the "You are full of sh..." achievement. If you are mean to Dr. Z you lose 1 skull, although it doesn't have a tendency mark.
Barbara 13 Aug, 2023 @ 11:56am 
What happens when you eat the soup at the queen's place?
Luko 25 Jan, 2023 @ 1:14pm 
I hate this "Ending achievement shit", but I love it if someone has the power to make a guide about this.
Fen 17 Jan, 2023 @ 10:31am 
Also my best GUESS as to why I lost a skull was in conversation with Agnes, after she gets Joe out of the coffin, she asks "why am I here?" and I answered "I'm not really sure," instead of telling her she was important. The screen briefly flashed as if to say she'd remember that. Anyway, that is a guess. I followed the guide to the letter and was nice to doctor Z as well.
Fen 17 Jan, 2023 @ 10:25am 
Unfortunately this guide is well and truly worthless. Like several others in the comments, I followed the guide and was 26/27 for Ending B.

What's HERE is all accurate, I'm sure. It's what the author of this guide left out that's the problem. It IS incomplete. There are several triggers to gain and lose skulls that are simply missed, and following the guide to the letter WILL NOT guarantee you an ending (other than A) because you might choose one of those options not listed. He simply doesn't know what they are and thus left them out of his guide.

After wasting 3 hours, I'm going to give myself the achievement with SAM and watch the ending on youtube, and I suggest you do the same.
Misplaced Aquarius 14 Jan, 2023 @ 4:01am 
For the people who tried going for the bad ending to end up with two skulls still left over, you have to piss off the doctor, basically follow the 'you're full of crap' path instead of saying 'im not a dog' (this would sound weird out of context)
Siamese55 12 Nov, 2022 @ 1:25pm 
I had the same thing happen as Greyshe_wolf. Followed to the letter, and still had two skulls left. What I said and where, I have no idea.
Greyshe_wolf 8 Jul, 2022 @ 2:46am 
I can confirm that I followed the guide for Ending C and ended up with 2 skulls left. I'm going to retry by playing the prologue again and be a brat in that one.
Stalin Com Uma Colher Gigante 25 Dec, 2021 @ 9:22pm 
to whoever reads this after beating the game for the first time to get the good and bad endings PLEASEEEEEE don't make the same mistake i did lmao. so, i rushed so damn fast to get ending C (3rd playthru so you can tell i'm tired of it even tho i love the game) i just made harrison go blow himself up in the bathroom WITHOUT EVEN TALKING TO HIM!!!! so i missed his dialogue and didn't realize when i was looking at the guide. which means i got to the end with 1/27 skulls because i didn't get to use the TE choice at all since i didn't talk to him. if you missed 1 skull it might be because of something like this so pay attention for the sake of your time 😭💀
Racuch Zawodowiec 4 Oct, 2021 @ 3:19pm 
Remember, be always nice to Doctor Z and have faith in him, otherwise you will lose skulls.