The ice begins to crack, plunging both Kate and Esther into the water. Esther continues to slash at Kate, so Max picks up the gun (dropped by Kate) and tries to shoot Esther, hitting the ice instead. They slide down a hill and land on the ice-covered pond. Suddenly, Esther attacks Kate and attempts to stab her with a knife. Kate takes the gun out of Esther's hand and carries Max outside just as the police start to arrive. Kate signs to Max to continue hiding, but when Esther enters the greenhouse with the gun, Kate crashes through the greenhouse roof, landing on Esther and knocking her out. Through the glass panels, she can see Max hiding among the plants. Kate hides in the bathroom and eases herself through the window out onto the greenhouse roof. She goes looking for Max, but Esther shoots her in the shoulder. Kate makes it home and sees John lying in a pool of blood. Max hides while Esther grabs the gun from the safe and goes looking for her. Esther, looking now like the 33-year-old she really is, looks up the stairs to see Max watching her. She suddenly comes from nowhere and begins stabbing him. After checking the electrical panel, John continues to search for Esther. However, in the dim light of the fish tank, he notices Esther's paintings for what they really are-images of violence visible only under black light. When John hears the noise, he looks in her room, but Esther is not there. Meanwhile, having been rebuffed by John, Esther trashes her room. Knowing that John won't believe her, Kate races home through a snowstorm to warn him. When Varava learns that Esther is home with Kate's husband, he advises her to call the police and to get her family out of the house. Leena was one of their most violent patients and escaped from the Institute a year ago. Turns out that Esther is really Leena Klammer, a 33-year-old woman with a pituitary disorder that makes her look smaller and younger than her actual age. He recognized Esther from the photo Kate sent. While in the hospital, Kate gets a call on her cellphone from Doctor Varava ( Karel Roden) at the Saarne Institute.