The last scene involving Dr. Hill is no longer in his office, but in the cave that Josh has been trapped in, although the chapter does start off with him sitting at his desk per usual, making popping noises with his mouth supposedly emulating the dripping of water. He gets up and walks over to Josh who is curled up in a panicked state, and questions whether or not the 'sessions' are helping him since he doesn't seem to be listening to him anymore.
Dr. Hill comments on the current situation being "fucked up" and warns Josh that he is going to leave him, since he has a lot more to be afraid of than what he is imagining in his mind. He sarcastically reassures Josh, advising him to take deep breaths, and telling him he won't be alone for long.