With Bob armed and no way out of the office, Miranda attempts to hide but finds the "Not Alone" message again taking on new meaning. The ghost of Rachel appears, muddling her appearance with the reflection of Miranda's face and disorienting Bob. He shoots at the specter, expecting to kill Miranda but instead firing at the ghost of his victim. That's when he shoots again, and this time, the shot sparks an explosion — thanks to a leaking gas pipe Bob hit while trying to capture Miranda earlier. The Sheriff goes up in flames, a new embodiment of the Anima Sola image before Miranda puts a bullet through his head. As she works to catch her breath, she turns to see Pete at the door, looking concerned as he mouths that he's sorry. 

Miranda is next seen strolling down the street with her former patient, Chloe Sava (Penélope Cruz), a year after the event. Released from Woodward Penitentiary, she is on her way to a train to begin her life again, free from her literal and figurative prisons. As the two walk side-by-side, Chloe tells Miranda that she still has nightmares, but that despite everyone thinking they were both crazy, the reality was that they could see the truth more than their doubters. "Once you open that door, you can never close it," Chloe explains before embracing Miranda and hopping into a cab. 

As Miranda continues down the sidewalk, she suddenly sees a little boy standing in the middle of the rainy street. Seeing a bus fast approaching, she moves to help him but stops herself as he points at her, the bus barreling through like the driver doesn't even see the boy. And as viewers and Miranda quickly discover, they don't — the boy is an apparition like Rachel, calling to Miranda. His ghostly fate — and Miranda's new ability to "see" the other side — is confirmed by the film's last image: a flyer declaring him missing.