In the end of the movie you see the sign over the doors that reads "Pediatric burn unit". All of the kids must have been disfigured with burns. Hal only sees Cadence in this ("real") state.
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Shallow Hal was created on 2001-11-09.
Shallow Hal grossed $70,836,296 worldwide.
No, she is not in that movie.
The Crying Game
Rene Kirby