Megan escapes the hospital and takes refuge in Ledge's home. There, she finds out that he used to work as the math teacher for the St. Michael's Church, which finally reveals that he is the Alphabet killer. Before she can act, he leaps from his wheelchair – having only pretended to be disabled – and attacks her. Ledge knocks her unconscious and drives to a remote spot near the Genesee River to drown her. Before Ledge can inject her with a sedative and dump her into the river, Megan breaks free and, after a struggle, shoots him in the foot with his own gun. Ledge falls into the river just past a large waterfall, though it's unclear if he is dead or not. Unsure whether Ledge is dead and confused by her surroundings, Megan is driven by the intense situation to another, longer breakdown.