Given that the patient’s journal was found, and you’ve gone into this building and seen no smoke beast (JJ Abrams probably called it home) and no meat monsters, there’s good news and bad news.

The good news is, all the monsters were likely this patient’s delusions, as a troubled mind tried to grapple with real world traumas.

The bad news is this hospital was probably an exceedingly fucked up place, with a bunch of deaths they covered up to avoid being shut down.

The worst news is, this poor person went through all this, feeling lost and abandoned, with his mind turning everything around him into some Silent Hill-esq horror. We’ll never know what really happened, but for this patient the monsters were very real.