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There are so many hallucinations in Black Swan, it's hard to tell what's real and what's only happening in Nina's head. That's why the film's ending, which sees Nina stabbing her ballet rival, Lily, in the stomach with a shard of glass and then returning to finish her performance of Swan Lake, is so twisted. Ultimately, it is revealed Nina only thought she stabbed Lily; in truth, she stabbed herself during one of her hallucinations, which leads to her bleeding to death on stage in the final scene.