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It was a Masons like sign between members of the 'Keepers of the Kingdom'. A secret society of staff and former staff of Kingdom Hospital. The Keepers are mentioned throughout the series.
Antubis is Anubis, the Egyptian god.Anubis was the guardian of the dead. The reason he looks like a giant anteater is because when he introduced himself to Mary, she thought he said ANTubis. Because Antubis is 'different things to different people' his form became based on her misudnerstand. This is explained by Sally Druse in 'Finale'.
Paul's backstory is gone into in slightly more detail in the accompanying book 'The Journals of Eleanor Druse: My Investigation Into The Kingdom Hospital Incident'.He was a fifteen year old boy and patient of the hospital that stood on the site before the Kingdom Hospital in the series - referred to as 'The Old Kingdom'. He was undergonig sensorary deprivation treatment in a saline tank. He can be seen in it singing during the episode 'Butterfingers'. He died when The Old Kingdom burned down.The events of his death are uncertain. But he is believed to have drowned.The reason he looks like Antubis' Human/Anubis form is explained by Antibus. Because Mary refused to believe that anyone was truly evil, including Paul, Antubis' human form came to resemble him. And like with his anteater form, everyone else now sees him as such. This doesn't explain how Antibus looked like Paul before Paul was even born, let alone died, during the original Mill fire however.They were both played by the same actor - Kett Turton.
The report was an autopsy on Elmer himself.The report was not 'real' as such.
Antubis saved Mary because she was the only person who knew the truth about The Gates Mill fire.He used her by sending her back to 'town' to get and hide the newspaper clippings, be killed horrifically and join him in limbo so that they, and the information in the clippings could later save everyone 150 years later. So in fact not saving her but using her in his century and half long plan.
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