Question: I have two questions. 1 - Is the woman who was hit by the car one of the personalities? And 2 - If she is,why did his psych have her hit by a car and still live for a few hours? I assume she is one due to the numbered key she had when she died.
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Chosen answer: She is indeed one of the identities. This is proven, as you said, by the fact that she has a numbered key. To answer your 2nd question the psych doesn't dictate what order and when the identities are killed. That is all played out in the killer's mind. The psych is only forcing them to interact with one another in hopes that Rivers will start killing them off. This is shown in the scene where Cusack tells Amanda Peet that she has to be the one to escape. His identity is certain hers isn't the killer but he is uncertain of which identity is. If the doc was already aware of which identity the killer was, and had control over how fast they died, he could have killed them all in a plane crash and left only the innocent identity alive. Rivers assumes she hangs on a couple of hours and then perishes, and since she is a figment of his imagination she does so.
oddy knocky