 The episode's final moments linger on Dean "meat-hooked in the center of what looks like a thousand mile spiderweb of rusty chains", a scene Kripke described as "M. C. Escher meets Hellraiser". The original vision for the final scene would have placed Dean in a "really nasty, bloody slaughterhouse, hanging from meat hooks". Here, Dean would start screaming as shadows fall over him. Discussions between Kripke, Manners, and Hayden led to the decision to present "one epic glimpse" of Hell, though they avoided aspects such as fire and brimstone to focus on more affordable visuals. Much debate went into the appearance of Hell because of its many variations. Though the scene matched with the many versions of "chains and people being ripped apart", art director John Marcynuk felt they should have made it "a little more mysterious and dark". He commented, "My opinion is, the vaguer the better, because you let the imagination take over. People have different fears, and Hell's such a personal torment." In series writer Sera Gamble's opinion, Dean's location is more of the "waiting room" — the place "they stick you before they hand you the sign-in sheet" — a far cry from what he will experience "once he gets into the first chamber of Hell".
