Thread:WDKinc/@comment-26228416-20170203214046/@comment-28858167-20170204014836

I think it's an illusion/hallucination/metaphor, but that's just me.

Also, I noticed something the second time I played it (yes, I played it twice, don't judge.) In the Oswald Asylum, you see two identical twin girls in one of the lobotomy rooms. They look as though they are dead, or, at the very least, brain dead. Considering the events of the game, this is all well and good. But, when you take a Duotine...

The girls are gone, and on the walls, written in blood: ITWARD.

Fast forward to Itward's Flying Machine, we see a puppet theatre (assuming you have the key) and in it, we learn that, even though it was Oswald that stitched them together, they blame Itward, even in death. The room in the Asylum is obviously foreshadowing of this.