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AdventWolf said:
I'm surprised he didn't go crazy, I would have if I lied down for a full 23 years. Hell, I would go insane in 23 days.
It says he woke up 3 years ago though, I guess that means he wasn't aware for the first 20 years?

No, they found out that he wasn't in a coma 3 years ago. He was conscious for the 23 years, but people didn't know. The accident occurred 26 years ago. The past three years have been rehabilitation as far as I'm aware.