Isaac had 'killed' the doctor who was going to gouge your eyes out and.. probably do other things.. He had left after you not responding to anything and gone to the exit, trying to get it open but ultimately failing. He was now a sacrifice, now prey to the other floor masters. You finally leave the room without a sound, and walk to the elevator.

"Hey, somebodies ballsy. Don't you see the fricking scythe in my hand?" Zack asked rhetorically as he held his scythe under his arms.