the despair disease was supposed to be a motive but.. it became a outbreak in the school.. only a few were infected.. but they're still conscious.. ms. Chisa, kaede, shuichi, and the others were in the cafeteria, the only sounds were the students eating their lunch, until ms. Chisa spoke.

ms. Chisa: "so... how's everyone doing?"

she still remained positive and optimistic and kept everyone's hopes up.

as for kokichi.. he had pieces of flesh missing and eaten due to auto cannibalism.. but it was barely noticeable due to the clothes he's wearing.. and he had some blood dripping down his mouth.. he doesn't remember the auto cannibalism.. he doesn't remember eating his own flesh.. he can barely remember.. he doesn't even know about the scars and missing pieces of flesh he has.. he doesn't even know about the piece of flesh in his hand.. his mind is fuzzy.. he wasn't even saying much.. he wasn't even making maki mad.. he was barely saying anything.. but he still had that carefree facade.. despite being more truthful and honest.. the only thing he has is a piece of his flesh in his hand.. he feels... hungry.. just by looking at it.. he completely lost touch with reality.. the worms are his friends now.. he doesn't care anymore.. he just wants to die already..

kokichi (his voice was shaky and trembling, he also developed speech impediment due to the worms eating most of his mouth, jaw, and vocal cords): "i... I don't know.. I feel like I b-barely remember anything a-at all.. i can't r-remenber.. i can't see.. i can't feel.. i can't sleep..! E-Everything hurts...!! I don't e-even know w-who i am..! T-They don't w-want me h-here!! They think I'm j-just a b-big mistake!! A-All I'm d-doing is e-eating myself...!! I d-don't even k-know who they are t-to me.. especially s-shuichi.." (He's referring to his classmates)