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Yah so I think that the ending was spot on. I think I felt like Joel at that point lol. I was so attached to Ellie that I had a sense of urgency to get to her at the end. Did not even think about killing the doctors in the room. (Left behind solidified that fact).

What they don't show however is wether Ellie agreed to the operation (to die) and she flat out knows that Joel killed everyone.