But why would we assume the other inmates of the asylum are real? Max is hurt pretty badly, it's his head that's bandaged so it's not too farfetched to assume he has a brain injury along with lacerations to his face and maybe burns. Not to mention that he may be doped to the gills for pain...or some other reason. He's lost contact with reality, that's for sure, but his brain is trying to right itself, so while Max is pretty sane compared to the rest of the inmates, "Max" may not be whole, he may be just the controlling persona struggling to maintain control over his fragmented mind, to figure out "what's going on". The other inmates may be delusions and/or parts of him.
Just thinking.
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