After being sedated and dragged by Father Martin, Miles wakes up in a locked padded cell, with the phrase "Rest in Peace" written in blood on the wall. When he approaches the door, one of the patients unlocks the door for him and quickly leaves. Miles leaves the cell and encounters The Twins, mysterious Variants, standing on the other side of the prison balcony behind iron bars. They discuss the idea of killing Miles and taking his tongue and liver, but decide not to do so yet, believing it to be impolite towards Father Martin, who told them not to touch Miles. Miles then proceeds to the lower level of the Prison Block and passes through a crack in the wall in one of the cells to reach the other side of the prison's balcony. He traverses a ledge and proceeds through the decontamination chamber, following the blood towards the exit.

Upon reaching the upper level (Block A), Miles encounters a Variant, and the bloody message "Down the drain" on the walls is repeated, this time with an arrow pointing towards a hole in the floor. After dropping down the hole, the player will be required to find a switch for an airlock. A control room at the end of the hallway is guarded by an armed Variant; the player must outmaneuver him and activate the airlock. Once he goes back, Miles will encounter the twins - again, behind iron bars - and will have to traverse a window ledge to get to the other side. As soon as he emerges, however, the twins will vanish. After passing through a destroyed airlock, Miles will find a keycard lying on the floor, which he can use to access the showers; however, he will be ambushed by the twins, who manage to trap him in a narrow corridor. This forces him to use the smashed window to evade them. After reaching the security control for the fourth airlock, Chris Walker will appear from the other side and smash his way through reinforced glass, causing the airlock to malfunction and burst into flame. An air vent then opens, allowing Miles to escape through the air duct. Chris will try to follow by bursting through a door, and will subsequently give chase to Miles. While attempting to run past the fire, an explosion occurs, blasting Miles into the lower floor of the Prison Block and onto a pile of body parts. Walker will follow soon after; this forces Miles to evade him and find an alternate path to the showers. Miles leaves the block after climbing up through the cell area, eventually reaching the Sewer through a hole in the shower room.

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