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As payback, Miles killed everyone in the Asylum.
Also, Walrider can revive damaged cells, which is what he did to Miles.
There are certain vaguenesses in the game; how exactly do you define horror and suffering? It could be either physical, mental, or both - some people who have experienced such may still be able to be seemingly functional and not walking nutcases. Different things affect different people - Maybe in order to truly control or at least have partial control of the Walrider is that you have to be at least for the most part sane, but understand suffering and horror. Sometimes in the game you come across a psycho who talks coherently, doesn't attack you, and doesn't seem to be rubbing his vienna sausage over guts smeared on walls. Some attack the guards while leave you completely alone; and so on.
There could be a plethora of reasons why - if Miles has control or even partial control of himself as the Walrider I don't actually think he'd slaughter -EVERYONE- because some of the poor residents in the Asylum were "innocent". Meaning they were mentally sane before being forced into their care. There is strong reason to suspect this because both players find documents stating how this and that poor soul was forced into "psychiatric care" for some made up reason. It may also hint towards that the Walrider when under Miles control or vice versa has a conscience and can in some blurred way comprehend what's good and bad. As the poster above me mentioned, he can also revive damaged cells, which I suspect he partially did to Waylon Park - he seems to walk with bit less of a limp and I think his stab wound was partially healed, too.
But towards the end as I said, the game hints at two possibilities: That Miles HAS control of it, or has PARTIAL control of it. We do not know which. It would be quite awesome if they made a game where you play as him being the Walrider somehow - as powerful as it is, it isn't omnipotent. Lastly... well, y'know. Game science and all. Some things are better left to the imagination - but, it DOES explain an awful, awful lot. Gives a lot of detail on most things while it leaves an iota of the details in the dark.
Oh and I effing enjoyed this. It was so much more messed up too than the original outlast, holy heck's bells XD
That was my thought, that Miles just spooked Waylon to make sure he left the asylum. I think the hosts have some level of control. Wernicke mentions Billy seeing him as his father so it's possible that's why he was still alive. Billy didn't kill him...or at least could keep the Walrider from killing him. If the Walrider can repair cells like is suggested then it could be why Wernickes lived past what he normally would have. Billy was keeping him alive.
I wondered if the Walrider itself was killing everyone and it was just the hosts intervention that could prevent it. Near the end of whistleblower when the Walrider kills Jeremy we see it in the form we did in Outlast, as a kind of ghost, yet when he's outside the asylum and has the opportunity to kill Waylon and doesn't...we see him in the form of Miles' body. So it made me wonder if there was a clash between the Walrider and hosts "personalities" so to speak. I'm not sure if wording it coherently lol.
As for what the Walrider actually is...I could never quite figure it out. Was it man-made and became sentient? Or was it something supernatural that the scientists thought they could control? Some people in the asylum are whimpering about "If you showed a caveman technology he'd say it was magic and if you showed modern man magic he'd say it was technology, we have faith in all the wrong things and it will destroy us" (Something like that.) So was the Walrider something "modern man" thought could be controlled through their work and it backfired?
They did mention about people who had seen a lot of horror being useful. So could the patients collective horror somehow have molded the extremely aggressive nature of the Walrider or formed it entirely? Some patients mention something was "waiting" for them in the mountains. I personally like to think it was supernatural, but I'm willing to admit I'm wrong.
ALSO ONE BIG FREAKEN QUESTION: WHY IS THERE A BIT OF THE WALRIDER NANITES IN A WASHING MACHINE? WHAT DID THAT SERVE?