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If I am guessing right, then this monumental decision will be to decide whether to keep her life support on, and eventually she wakes up, or turn off life support at some point and let her go? The letting her go, will probably be the end of the MC in terms of him doing things alone which would obviously be the wrong choice. Maybe I am entirely wrong, but I worry for Anna because the longer she is under, the higher chance she could end up with some kind of brain damage.  Some thoughts about a coma is that the brain is trying to rewire itself for some reason or other, and the longer it takes the more neurons die and ive even heard brain tissue can die too if the coma is a long time. 

I hope she doesn't have amnesia when she wakes up that would be a really cruel nasty mess for her to be in and the for the players too, please don't do that, even if it is the further the story, we already care about these fledgling characters.

My guess is the decision is more on what to do with the pregnancy.

Probably whether to keep it and raise w/ support of family even though wife is in coma (possibly risking wife's life), or decide can't raise  on own/abort to keep mom safer.  But, to many that would still be considered a live or die decision.  ( I *suspect* though by saying it isn't live or die, Killer7 is saying it's precisely NOT what you are suggesting.  Not that it isn't about aborting/not aborting the pregnancy.)

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ignore that i forget he talks about 2 games here and not just the one i play

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Having MNF and MNM in the same update is sometimes confusing, I agree!  :P