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I don't want to give away the ending, but let's just say. Leonardo DiCaprio's character finally comes to terms with his inner turmoil and doesn't want to face reality. He finds out he shot his wife in reality and everything that he has been hallucinating has been a lie and he is living in a non exsistant life ( one that only exsists to him so he doesnt have to face the truth). He finds out he had actually been a patient of Shutter Island for 24monthes and at the end of the movie he is walked to the lighthouse where he must get a lobotomy.

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He realized that he was a patient at the hospital. The case that they gave him was kind of based on his own life.

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Q: What happens at the end of shutter island?
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