Question: What exactly was the purpose of the cigarettes? It seems like in order to kill Adam, Lawrence would have to give Adam a "blood soaked" cigarette. If this was how Lawrence was going to kill Adam, then what was the point of the saws and bullets? Also, wouldn't Lawrence be skeptical as a Doctor that something like a blood soaked cigarette would kill Adam while a normal unsoaked one wouldn't kill him? The whole part with the cigarette's leaves many unanswered questions.
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Chosen answer: The killer knows that, in this early stage, Lawrence is unlikely to really try to kill Adam, and also that he is likely to try and pretend to do so to get out (hence the electrical shock administered to Adam). Thus, the saws and gun are for use later in the game, when things really heat up; the cigarette is there specifically for the ruse Lawrence attempts. Also, the deadly effect of the cigarette is not just the blood, but the fact that the blood is poisoned (or so they are led to believe); hence, if Adam put the poisoned blood in his system, it could very well have killed him if it really were poisoned. Smoking an unsoaked one might kill him with cancer, but that would have taken far too long to do Lawrence any good.