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It's a sanity thing he need to lower your sanity to 0.

I have my Sanity at 5, as low as it can go, playing a female character and I'm not seeing any option or change.  Is there something else I'm missing here?

I couldn't tell if it was me but I think that's the lowest it can go for him it may not be an "ending" but some extra text because on my make character I got some excess text afterwords where my character said he wanted more but then passed out and that was it