In 1954, U.S. Marshal Edward "Teddy" Daniels (Leonardo DiCaprio) and his partner, Chuck Aule (Mark Ruffalo), go to the Ashecliff Hospital for the criminally insane on Shutter Island. They are investigating the disappearance of Rachel Solando, a patient said to have vanished from a locked room. Dr. John Cawley (Ben Kingsley), the head psychiatrist, explains that Rachel was institutionalized after drowning her three children.
At last,Andrew finally comes to his senses, and has apparently accepted reality. However, later, while talking to Dr. Sheehan, he once again speaks as if he has regressed into his fantasy world. Dr. Sheehan silently indicates to Dr. Cawley that the roleplay was not successful. Orderlies approach with an orbitoclast. Andrew asks Dr. Sheehan whether it is better to live as a monster or die as a good man before leaving with the orderlies who escort him to receive a lobotomy.
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