Back in the present, Fenix is taken out of the asylum to a movie theater along with other patients, most of whom have Down syndrome. A pimp intercepts them and persuades them to take cocaine and follow him to meet an overweight prostitute. Fenix then spots the Tattooed Woman, who is now a prostitute, and becomes consumed with rage. Back in the asylum, Fenix's armless mother Concha calls out for him from the street and he escapes by climbing down a rope from his cell window. The Tattooed Woman is shown trying to prostitute Alma, who runs away and sleeps on the roof of a truck. The Tattooed Woman is killed and mutilated by the hands of an unseen woman.