I don't know haven't died in the last round but i presume it sends you back into the bathroom where you get back up again?
Rish2447
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A member registered Dec 12, 2020 · View creator page →
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it does have an ending , you play trough 3 rounds each round increases the amount of lives you have as well as potential gimmicks and if you lose at any round you have to start over from the beginning however there's nothing stopping you from replaying it since the dealer is AI and not predetermined.