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There are two endings in this game. You get the same ending on Daydream, Insomnia and Nightmare difficulties. If you finish the game on Trauma you will get a completely different ending.
Hmm... I would go with Nightmare and finish Trauma playthough later. It's just that endings will make much more sense if you play PK in this order.
P.S. Also you can transfer all unlocked tarot cards from Nightmare to Trauma.
Word, thank you my friend. I'll just do that.
It's a shame that devs unlocked Trauma in Black Edition from the start. Many games are still using difficulty unlocking (Resident Evil and Dead Space come to mind).