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You can use the razor to unlock a secret past the unlocked area. I think the cake is just to signify that you have unlocked the B-day entity , I'm not sure about the stool( I also have an extra one) and the cheezy chew gives extra dialogue if you speak to the senior before playing the tape.

If i remember correctly, it is the same route as the 3rd just choose a different option at the end.

Finally finished this awesome game. Something I found funny was you could sorta create a paradox by getting a certain someone to shoot themselves in one of the endings and still walk off.