Oh, she def didn't survive that scene. If you remember, when Patrick was talking to Mel, he said "I wish I didn't do it. I wish I never took that second shot" (Started making us think that he regretted shooting her). Then he said, "I have all them tools downstairs, I could've done it right, I could have figured out who she was, and figured out why she killed our boy". Patrick at that point had no clue who she was, and he was basically envisioning what he would have been doing to her, had he kept her alive. That second shot def took Escther's head off. If you look at the blood spatter on Patrick when he leaves the basement, and goes to her truck. You'll see his face and shirt are covered, but when he goes out the actual door the blood is gone completely off his clothes and face. As he enters the door again, you'll notice the blood is right back where it was, before he left the house. He was basically crazy at that point. Honestly, I think this was A ploy from the writer, to make us the viewer show, that he had messed up thoughts, and flaws just like the rest of the characters in the film. I guess in someway justified, how at the end when he killed him off, that he wasn't so much A victim himself, because he was equally nuts. This movie touched on at least 4 different mental health diagnoses's, from the four characters involved. I don't buy that he was always having them thoughts though, and his were forced because of circumstance. If someone killed my Daughter, I'd have them thoughts and then some. Patrick was A victim through and through.
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