This is the bad ending of silent hill: origins. After saving Alessa from the cult, Travis wakes up on the gurney in the room with the first mirror you see in the game. After a few sound clips of what appears to be Travis killing people, it soon becomes clear that Travis was The Butcher all along. He remains restrained on the table in the foggy world, but in a body bag in the alternate world, trapped in Silent Hill forever.
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