Planning to "get away from the city" with his partner Lori he reluctantly agrees to meet again with the psychiatrist before leaving. He is told by them that the murders are real, committed by him and he should turn himself in to police.
Hallucinating due to drugs prescribed him by the psychiatrist, Boone ends up in hospital and has a chance encounter with a suicidal man who believes Midian is real and gives him directions there. Boone evades the police looking for him, jumps in his pickup truck and heads for the remote cemetery supposedly atop Midian to seek forgiveness.