Alice, along with Kevin and Pam Garrety, Kevin's case manager from the firm, visit Mary Ann at the institution. After seeing Pam as a demon, Mary Ann hits her with a hand mirror and barricades the room. As Kevin breaks down the door, Mary Ann commits suicide by cutting her throat with a shard of glass. Alice reveals that Milton is Kevin's father whom she met in New York decades ago; Kevin leaves the hospital to confront Milton, who admits to raping Mary Ann. Kevin fires a pistol into Milton's chest, but the bullets are ineffective. Milton reveals himself as Satan and Kevin blames him for everything that happened; Milton explains that he merely "set the stage" and that Kevin could have left at any time. Kevin realizes he always wanted to win, no matter the cost. Milton tells Kevin that he wants Kevin and Christabella, Kevin's half-sister, to conceive a child, the Antichrist. Kevin appears to acquiesce at first, but then abruptly cites free will and shoots himself in the head.