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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