Lehane was inspired by the hospital and grounds on Long Island in Boston Harbor for the model of the hospital and island. Lehane had visited it in the Blizzard of 1978 as a child with his uncle and family.
In 1954, widower U.S. Marshal Edward \"Teddy\" Daniels and his new partner, Chuck Aule, go on a ferry boat to Shutter Island, the home of Ashecliffe Hospital for the criminally insane, to investigate the disappearance of a patient, Rachel Solando (who was incarcerated for drowning her three children). Despite being kept in a locked cell under constant supervision, she has escaped the hospital and the desolate island.
In Rachel's room, Teddy and Chuck discover a code that Teddy breaks. He tells Chuck that he believes the code points to a 67th patient, when records show only 66. Teddy also reveals that he wants to avenge the death of his wife Dolores, who was murdered two years prior by a man called Andrew Laeddis, whom he believes is an inmate in Ashecliffe Hospital. The novel is interspersed with graphic descriptions of World War II and Dachau, which Teddy helped to liberate. After Hurricane Carol hits the island, Teddy and Chuck investigate Ward C, where Teddy believes government experiments with psychotropic drugs are being conducted. While separated from Chuck for a short while in Ward C, Teddy meets a patient called George Noyce, who tells him that everything is an elaborate game designed for him, and that Chuck is not to be trusted.
As Teddy and Chuck return to the main hospital area, they are separated. Teddy discovers a woman (in a sea cave he tried to take refuge in) who says she is the real Rachel Solando. She tells him she was actually a psychiatrist at Ashecliffe, and when she discovered the illegal experiments being run by them, she was incarcerated as a patient. She escaped and has been hiding in different places on the island. She warns him about the other residents of the island, telling him to take care with the food, medication and cigarettes, which have been laced with psychotropic drugs. When Teddy returns to the hospital, he cannot find Chuck and is told he had no partner. He escapes and tries to rescue Chuck at the lighthouse, where he believes the experiments take place. He reaches the top of the lighthouse and finds only hospital administrator Dr. Cawley seated at a desk. Cawley tells Teddy that he himself is in fact Andrew Laeddis (an anagram of Edward Daniels) and that he has been a patient at Shutter Island for two years for murdering his wife, Dolores Chanal (an anagram of Rachel Solando), after she murdered their three children.
Every time you teach a subject, it subtracts 1 point in the associated stat for every survivor (down to a minimum of 1), to represent the Sunnies gaining the knowledge to collect the island's resources for themselves.
Day 31: Ending scene.You can choose to escape with Miley for an ending, or stay on the island.There are three different outcomes for escaping as the only survivor, escaping with some survivors, or escaping with everyone alive.
On Day 28, fight the bird pursuing Safalin, then buy Fuel from her for 20,000 yen.On Day 29, give Jin and Touko the Fuel.On Day 31, choose to stay on the island.Finally, on Day 34, choose to escape on the boat.
Sunnies Ending: Follow the Sunnies sidequest and succeed each time.On Day 31, choose to stay on the island.Succeed at the last Sunnies event on Day 33, and survive until Day 40.(Number of survivors is irrelevant, but whether key characters important to the protagonist survived can result in variations.) 59ce067264