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The reason is never specified in the movie. They just appear to like torturing and killing people.
-A man (presumably Dad's co-worker) is suffocated with bubblewrap. His body is then chopped up.-A man (we don't know who he is) has been crucified. His body is on the wall.-A man is stabbed repeatedly.-A woman is hit over the head with an iron.-A woman is stabbed repeatedly.-A disabled woman is strangled.
Dad tells Lena that the 'spastic' girl in the attic is like that because the cord was wrapped around her neck when she was born. It is revealed that she is his 'real daughter'.
It is presumed that Lena survives after killing Mum, Dad and Birdie when she escapes from the house. The last shot is of her screaming in a field covered in blood. Elbie is also seen strangling the disabled sister but he is not hurt so it's presumed he also survives.
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