Act Three shows a number of conversations between Ivanov and other members of the cast – Lebedev begs Ivanov to repay his debts, and Lvov confronts Ivanov once again about the heartless way he treats Anna. Sasha then appears, concerned by Ivanov's refusal to visit since the incident at the end of Act Two. The act then ends with Anna confronting Ivanov about Sasha's visit, and about how he has lied and cheated on her for the entirety of their marriage. Ivanov's anger is aroused by the false accusation and in a fit of anger he reveals to her that she is dying.