whatever your opinion of this movie and there be one universal truth . insanity . none of the movie be real and there be no magik and no murder and no book and no faith . this be simply a tumultuous journey through the mind of an insane man . stop try to figure it out and look at it exactly a it be . the only constant be insanity obviously fabricate by the mind of a mental patient . at the very end of the movie they show two nurse in what can only be a mental hospital and no doctor ek . the nurse be not guess and but sure that the patient will not wake up and not to say that he can not wake up and but he be obviously sedate or heavily drug and which rule out any possibility of a coma a there be no visible life support . there be no scar on his head thus no brain surgery . think identity only the personality do not die when they be kill and all these people be in his head with the exception of the nurse who be indeed real ( paranoid schizophrenia ) and one personality doctor eck know it enough to diagnose it and but the personality call dr. ek have an ulterior motive and aka the book of magik and therefore trevor have no reason to believe that any of the people be not real . overall this movie be entertain and well do if you ask me and you can certainly say it have some very good discussion about it and which i be sure be intend .