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Waking up in an alley, he tries to make his way home, but deformed monsters attack him. Book Simon attacks you with a Pistol, then Shotgun, then Machine gun, and finally a Sledgehammer.
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The real Simon ending his own life is shown metaphorically in his mind as the projection that Simon is subjected to another nightmare, forced to work his way to the real Simon still stuck in his wheelchair. Despite this, it appears that at some point before the events of Cry of Fear, the real Simon confessed his feelings to Sophie shortly before his accident - but she rejected him and this caused him to suffer more grief, likely leading to the creation of Carcass in his mind, the monster serving as an incarnation of Simon's accumulated guilt and sorrow. It's all made exclusively by the developers. At the beginning of Cry of Fear, Simon had a model with less polygons as of now.
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