My interpretation of it was that dad and Adam had the visions and Fenton did not. After certain actions by Fenton rebelling against killing these "demons" there was no action taken because Fentons actions were spurred by misunderstanding and the belief God says killing is wrong. He had in his heart good intentions and really believed he was doing the right thing. The vision then warned his father that Fenton would become one. The father then has to kill the sheriff to avoid getting caught because of Fenton. Abraham in the Bible had all sorts of problems having a child. Once they did they basically loved him more than anything. God tested his faith by asking him to sacrifice his son to test his love and faith in God over all else. He stopped Abraham once he saw that though it broke his heart he was willing to put God before the most precious thing in his life. For this God rewarded him. Now because he did not kill Fenton he put his love of his son before Gods will and then murdered an innocent man. Because of that he had to pay a price. He couldn't go on killing considering he to had taken innocent life. When Fenton killed his father he made an active choice to murder out of hate because of the trauma of seeing the murders, having to dig the graves, the cellar, and then being locked in it with no food and very little water until he lied and faked the vision. Once his father let him out the die was cast. Fenton wasn't trying to save the man on the floor his intention was to kill his father all along. Once Fenton swung the axe and killed his father he made his choice. When Adam whispered with his dad and then killed the man in front of Fenton he realized it was the reality in their world and he had just picked a side. Had it been about saving people or doing the right thing then Fenton would not have buried the man and his dad and then reported their dad missing. He would have went and told everyone the truth in order to do the right thing for the victims and their families. The reason he didn't is in that moment he finally believed that these people were in fact demons or possessed or whatever. They were put on the list because they were beyond redemption. He knew by lying about a vision he never had, planning to and then killing his father he too was now beyond redemption. That is why he asked Adam who had been tapped to take the fathers place to bury him in the garden after he killed him. I think Fentons other murders were either him stalking people who were bad and "destroying" them as some sort of atonement even though he never had a vision, was fueled by all that he went through while with his father, or to some extent always there under the surface and it was just triggered sooner rather than later by all the insanity of the list/visions/mission. I mean the little wacko kept skiulls in his basement. I think maybe he wrote the God Hands letter because he couldn't stop killing and knew they would attract Adam's attention and God would either provoke Adam into action or earn him a spot on Adams list. That was why he was drinking, typing his last letter, and listing to gospel music at the end.
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