A lot is going on in this page, for one thing we finally get a concrete look at what happened to B-timeline Margaret, something we merely alluded to in the bookends of issues 1, 2, and 3.
We also see further evidence as to the degree to which William Saxton can bend reality to his will. William has taken the Rot in a different direction than his father, perhaps he is less powerful, less immediately dangerous, but not by TOO much in my mind, just different.
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