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Right. I just wondered because after Alex OD's on heroine, there is a comment made that brain damage is possible.  I was trying to get that end so I was a bit of a dick but not too much of one.  But I always seem to be either too much of a dick (and Alex dies) or too nice (and Alex makes a full recovery)

If I'm remembering correctly, there isn't a brain damage ending for Alex. There are two other endings for the MC halfway through the game, however.

And that would explain why I can't get that ending. Thanks.

Sure thing :)