It made abundantly clear that Renée was a victim of sexual abuse[8] within the asylum, perpetrated by a male nurse or doctor.

After a thorough investigation in the patient property section, Renée finds Amara's possessions, thus proving her existence and that the medical team falsified some aspects of her mental illness.

Medical notes found whilst searching the facility imply that Renée was verbally and physically aggressive and often spent time tied to her bed.

After several years of communication censoring by hospital staff, Renée discovers that her mother died and tried to take her own life on multiple occasions.

[12] A three-part series for PC Gamer explains how Lorenzo Conticelli designed the asylum setting for the game.