Spoilers, duh.

strong themes like depression and suicide are discussed, if you'd rather not read about this you can safely read the tutorial and skip the discussion.

YOU SAVE AUTOMATICALLY AFTER THE FIREPLACE BECAUSE THAT'S WHERE YOU DICTATE YOUR ENDING, JUST LOAD BACK FOR A NEW ONE!

PUZZLES

The shop: buy ONE of the used needles and use it. (If you use more than one through out your play through you'll get soft locked.)

A familiar place: Pick up the chair beside the hospital bed and place it on the left side of the desk without a chair.)

A hot place: Play the piano

A memory: Grab the wine on the conveyor and bring it to the empty teacup in the backroom. (if you interact with it before hand and see the wine you might have connected the dots)

ENDINGS

Ending 1: Play through normally, ignoring the trash can in the beginning and going right in the Blood Sewer.

Ending 2: Unscrew the valve in the Blood Sewer And screw it onto the bedroom pipe, return down normally but go back to where you got the valve, there will be a blood trail you can walk on.

Ending 3: Grab the wrench in the bin beside the store, play through normally until you get to the bathtub. Unscrew the valve beside it and walk back out. You'll see the blood has parted and there's a pathway. (You'll keep the wrench and get the valve, it has no purpose besides being an extra thing you can collect as of 1.2)

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DISCUSSION!

With the three endings (along with the game itself) it's all vague and doesn't tell you directly on purpose. While I won't directly say what it all means, I'll give a basic run down to where you can start brain storming. The basic run down is that it's about depression and suicide. Why and how it happened is shown indirectly or directly in the story and setting.

Ending 1 is the base ending, you can assume she never wakes up from either her hell, coma, or death and remains asleep. This can be because of fate or because you didn't go out of your way to change the future.

Ending 2: This is the bad ending, basically. You change, but for the worst. You end your life by the rope after being guided by a voice. The voice could be many people. But the rope is literal. 

Ending 3: This is my favorite ending to any project I've made. You change, but for the best. You confront yourself at the edge of the building you attempted suicide on (or maybe its a metaphor for the suicide itself) and you talk your past self out of it. Of course you cant literally change the past, but you can change how you see it and what it means for you. You grow from your mistakes and you grow into a better you. But this isn't the best possible ending yet, while you change yourself inside, you're still you in a sense. Y'know? You can't undo what you do, but you can fix what you can do in the future.

Ending 4: This will be present in the next build (1.3) and be in a sense the "True" ending. Without spoiling it entirely, it requires you to do the teacup puzzle and to start the 1st ending. You will then face yourself in a new way. Another clue is that you LITERALLY need to face yourself.

-Kira