Later, as Kelli and Leigh recover at the hospital, Billy, who is partially burned, kills the morgue assistant. While Kelli goes for an x-ray, Agnes appears in her hospital room and kills Leigh. When Kelli returns to her room, Agnes appears through the ceiling and attacks her, but Kelli uses a defibrillator to kill Agnes. Moments later, Billy enters through the ceiling and chases Kelli to the stairwell. They briefly fight, ending with Kelli pushing Billy off the railing where he is subsequently impaled on the tip of a Christmas tree, killing him.