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I just completed Mother Russia Bleeds. For that, I received the "sad ending" reward. I noticed that there is also a "happy ending" achievement, so there must be an alternative ending. Does anyone know how to achieve this alternative ending?

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You have to beat the final boss without using drugs. Source

You can to solve it in a fight against the final boss of the game. You will get a good ending if you destroy him without drugs. It is important to understand that you do not need any treatment, don’t use - keys F and R. If you use medication or rage at least once, you will get absolutely bad ending.

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