In its final act, the film delivers a twist that rewrites the entire narrative. In a devastating revelation, the hospital's lead psychiatrist, Dr. Cawley (Ben Kingsley), and Teddy's partner, Chuck, reveal a shocking truth. Teddy Daniels is not a U.S. Marshal. He is, in fact, Andrew Laeddis, the most violent and dangerous patient at Ashecliffe Hospital, who has been living in a elaborate delusion for two years.
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